| Date of birth: | Jul 18, 1947 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2015-000915 |
| Booking date: | Jan 13, 2015 |
| Release date: | Jan 15, 2015 |
| Booking location: | Polk County, FL |
| Statute: | 784.021(1A) AGGRAV ASSLT - WEAPON-W DEADLY WEAPON WITHOUT INTE |
| Charge on arrest docket: | DV AGG ASSLT W DEADLY WPN WO INTENT |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | PC20116144 |
| Bond exp: | SBN#PC201161442 $1000 |
| Bond amount: | $1,000 |
