| Date of birth: | Apr 20, 1986 |
| Hold: | no |
| Arresting agency: | LAKE WALES POLICE DEPT. |
| Booking number: | 2004-028655 |
| Booking date: | Dec 19, 2004 |
| Release date: | Dec 20, 2004 |
| Booking location: | Polk County, FL |
| Statute: | 784.03(1A1) BATTERY-TOUCH OR STRIKE |
| Charge on arrest docket: | BATTERY DOMESTIC VIOLENCE |
| Charge number: | 1 |