| Date of birth: | Sep 28, 1964 |
| Hold: | no |
| Arresting agency: | LAKELAND POLICE DEPT. |
| Booking number: | 2004-021507 |
| Booking date: | Sep 22, 2004 |
| Release date: | Oct 2, 2004 |
| Booking location: | Polk County, FL |
| Statute: | 784.03(1A1) BATTERY-TOUCH OR STRIKE |
| Charge on arrest docket: | SIMPLE BATTERY/DV |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | BB1504260 |
| Bond exp: | SBN BB1504260 FOR 5000.00 |
| Bond amount: | $5,000 |
