| Date of birth: | Jan 21, 1956 |
| Hold: | no |
| Booking number: | 1998-018136 |
| Booking date: | Sep 13, 1998 |
| Release date: | Sep 17, 1998 |
| Booking location: | Polk County, FL |
| Statute: | 784.03 BATTERY-SERIOUS INJURY |
| Charge on arrest docket: | BATTERY DOMESTIC VIOLENCE |
| Charge number: | 1 |