| Date of birth: | Jan 24, 1960 |
| Hold: | no |
| Booking number: | 1993-016526 |
| Booking date: | Dec 8, 1993 |
| Release date: | Dec 10, 1993 |
| Booking location: | Polk County, FL |
| Statute: | 784.03 BATTERY-NON SERIOUS INJURY |
| Charge on arrest docket: | BATT DOMEST VIOL |
| Charge number: | 1 |