| Date of birth: | Dec 6, 1958 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2001-025421 |
| Booking date: | Nov 15, 2001 |
| Release date: | Nov 17, 2001 |
| Booking location: | Polk County, FL |
| Statute: | 784.03(1A1) BATTERY-TOUCH OR STRIKE |
| Charge on arrest docket: | BATTERY DOMESTIC VIOLENCE |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | 2001-BB-00 |
| Bond exp: | SBN #2001-BB-007072 $10000 |
| Bond amount: | $10,000 |