| Date of birth: | Apr 3, 1945 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 1999-007466 |
| Booking date: | Apr 10, 1999 |
| Release date: | Apr 10, 1999 |
| Booking location: | Polk County, FL |
| Statute: | 877.03 DISORD CONDUCT-SERIOUS INJURY |
| Charge on arrest docket: | DISORDERLY CONDUCT |
| Charge number: | 1 |
| Bond type: | CBN |
| Bond number: | 99-001039 |
| Bond exp: | CBN#99-1039 FOR $250.00 |
| Bond amount: | $250 |
