| Date of birth: | Jun 23, 1959 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 1999-008299 |
| Booking date: | Apr 21, 1999 |
| Release date: | Apr 24, 1999 |
| Booking location: | Polk County, FL |
| Statute: | 784.03 BATTERY-SERIOUS INJURY |
| Charge on arrest docket: | BATTERY DV |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | 99AA-10000 |
| Bond exp: | SBN#99-AA-10000 $5000 |