| Date of birth: | Oct 28, 1928 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 1998-012462 |
| Booking date: | Jun 25, 1998 |
| Release date: | Jun 26, 1998 |
| Booking location: | Polk County, FL |
| Surety: | 10000 |
| Statute: | 784.011 ASSAULT-SERIOUS INJURY |
| Charge on arrest docket: | AGG ASSAULT DV |
| Charge number: | 1 |
| Cash: | 10000 |
| Bond type: | SBN |
| Bond number: | 10883520 |
| Bond exp: | R10-10883520 |
| Bond amount: | $10,000 |