| Date of birth: | Jul 21, 1956 |
| Hold: | no |
| Booking number: | 1993-016407 |
| Booking date: | Dec 5, 1993 |
| Release date: | Dec 16, 1993 |
| Booking location: | Polk County, FL |
| Statute: | 784.021 AGG ASSAULT |
| Charge on arrest docket: | AGG ASSLT(DV) |
| Charge number: | 1 |
| Statute: | 784.03 BATTERY-NON SERIOUS INJURY |
| Charge on arrest docket: | BATT(DV) |
| Charge number: | 2 |