| Date of birth: | Nov 14, 1955 |
| Hold: | no |
| Arresting agency: | FORT MEADE POLICE DEPT. |
| Booking number: | 1999-015280 |
| Booking date: | Jul 19, 1999 |
| Release date: | Jul 20, 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: | BB816209 |
| Bond exp: | SB BB816209 2,500.00 |
| Bond amount: | $2,500 |