| Date of birth: | Dec 17, 1973 |
| Hold: | no |
| Booking number: | 1996-012222 |
| Booking date: | Jul 19, 1996 |
| Release date: | Jul 20, 1996 |
| Booking location: | Polk County, FL |
| Statute: | 784.03 BATTERY-NON SERIOUS INJURY |
| Charge on arrest docket: | BATTERY DOMESTIC VIOLENCE |
| Charge number: | 1 |