| Date of birth: | Sep 16, 1967 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2010-001336 |
| Booking date: | Jan 17, 2010 |
| Release date: | Jan 18, 2010 |
| Booking location: | Polk County, FL |
| Statute: | 784.03(1A1) BATTERY-TOUCH OR STRIKE |
| Charge on arrest docket: | BATTERY DV |
| Charge number: | 1 |