| Date of birth: | Dec 13, 1967 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 1999-012290 |
| Booking date: | Jun 9, 1999 |
| Release date: | Jun 10, 1999 |
| Booking location: | Polk County, FL |
| Statute: | 784.03 BATTERY-SERIOUS INJURY |
| Charge on arrest docket: | BATTERY DV |
| Charge number: | 1 |