| Date of birth: | Feb 24, 1935 |
| Hold: | no |
| Dna: | yes |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2013-001577 |
| Booking date: | Jan 18, 2013 |
| Booking location: | Polk County, FL |
| Statute: | 784.011 SIMPLE ASSLT-INTENT THREAT TO DO VIOLENCE |
| Charge on arrest docket: | SIMPLE ASSAULT DV |
| Charge number: | 1 |
| Bond exp: | NO BOND |
| Statute: | 784.07(2B) BATTERY-ON OFFICER FIREFIGHTER EMT ETC |
| Charge on arrest docket: | BATTERY ON LEO/FIREFGTR/EMT |
| Charge number: | 2 |
| Bond exp: | NO BOND |
| Statute: | 843.01 RESIST OFFICER-WITH VIOLENCE |
| Charge on arrest docket: | ROWV |
| Charge number: | 3 |
| Bond exp: | NO BOND |