| Date of birth: | Apr 25, 1972 |
| Hold: | no |
| Dna: | yes |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2013-008164 |
| Booking date: | Apr 9, 2013 |
| Booking location: | Polk County, FL |
| Surety: | 1000 |
| Statute: | 784.021(1A) AGGRAV ASSLT - WEAPON-W DEADLY WEAPON WITHOUT INTE |
| Charge on arrest docket: | AGG ASSAULT W/DEADLY WPN W/O INTENT TO |
| Charge number: | 1 |
| Cash: | 1000 |
| Bond exp: | PTR CONDS |