| Date of birth: | Nov 12, 1938 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 1997-010475 |
| Booking date: | May 31, 1997 |
| Release date: | Jul 22, 1997 |
| Booking location: | Polk County, FL |
| Statute: | 784.045 AGG BATTERY |
| Charge on arrest docket: | AGG. BATTERY DV |
| Charge number: | 1 |