| Date of birth: | May 28, 1949 |
| Hold: | no |
| Arresting agency: | LAKELAND POLICE DEPT. |
| Booking number: | 1997-021702 |
| Booking date: | Nov 18, 1997 |
| Release date: | Nov 19, 1997 |
| Booking location: | Polk County, FL |
| Statute: | 784.011 ASSAULT-SERIOUS INJURY |
| Charge on arrest docket: | ASSAULT DV |
| Charge number: | 1 |
| Bond exp: | NO BOND |