| Date of birth: | Mar 25, 1944 |
| Hold: | no |
| Booking number: | 1996-009754 |
| Booking date: | Jun 6, 1996 |
| Release date: | Jul 2, 1996 |
| Booking location: | Polk County, FL |
| Statute: | 843.02 RESIST/OBST- OFCR W/O VIOLENCE |
| Charge on arrest docket: | ROWOV |
| Charge number: | 3 |
| Statute: | 784.07 ASSAULT/BATTERY ON LAW ENFORCEMENT OFFICER |
| Charge on arrest docket: | BATT ON LEO |
| Charge number: | 1 |
| Statute: | 843.01 RESIST W/VIOLENCE |
| Charge on arrest docket: | ROWV |
| Charge number: | 2 |