| Date of birth: | Jul 5, 1959 |
| Hold: | no |
| Arresting agency: | LAKELAND POLICE DEPT. |
| Booking number: | 2012-030114 |
| Booking date: | Dec 1, 2012 |
| Booking location: | Polk County, FL |
| Statute: | 784.011 SIMPLE ASSLT-INTENT THREAT TO DO VIOLENCE |
| Charge on arrest docket: | ASSAULT |
| Charge number: | 1 |
| Bond exp: | NO BOND |