| Date of birth: | Dec 19, 1951 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2004-017160 |
| Booking date: | Jul 27, 2004 |
| Release date: | Aug 19, 2004 |
| Booking location: | Polk County, FL |
| Statute: | 784.021(1A) AGGRAV ASSLT-W DEADLY WEAPON WITHOUT INTENT TO KIL |
| Charge on arrest docket: | AGGRAVATED ASSAULT (DV) |
| Charge number: | 1 |
| Statute: | 810.02(2B) BURGL-DWELLING STRUCTURE OR CONVEYANCE ARMED |
| Charge on arrest docket: | BURGLARY DWELLING ARMED W/PERSON INSIDE |
| Charge number: | 2 |
