| Date of birth: | Feb 18, 1963 |
| Hold: | no |
| Booking number: | 1996-010628 |
| Booking date: | Jun 22, 1996 |
| Release date: | Jun 23, 1996 |
| Booking location: | Polk County, FL |
| Surety: | 1000 |
| Statute: | 843.01 RESIST W/VIOLENCE |
| Charge on arrest docket: | RESIS W/VIOLENCE |
| Charge number: | 3 |
| Cash: | 250 |
| Bond type: | SBN |
| Bond number: | 10362547 |
| Bond amount: | $1,000 |
| Surety: | 500 |
| Statute: | 810.09 TRESPASS-OTHR THAN STRUCT/CONVEY |
| Charge on arrest docket: | TRESPASSING AFTER WARNING |
| Charge number: | 1 |
| Cash: | 150 |
| Bond type: | SBN |
| Bond number: | R5-1036254 |
| Bond amount: | $500 |
| Surety: | 1000 |
| Statute: | 784.07 ASSAULT/BATTERY ON LAW ENFORCEMENT OFFICER |
| Charge on arrest docket: | BATTERY ON LEO |
| Charge number: | 2 |
| Cash: | 250 |
| Bond type: | SBN |
| Bond number: | 10362545 |
| Bond amount: | $1,000 |