| Date of birth: | Mar 2, 1970 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2013-013593 |
| Booking date: | Jun 17, 2013 |
| Booking location: | Polk County, FL |
| Statute: | 784.011 SIMPLE ASSLT-INTENT THREAT TO DO VIOLENCE |
| Charge on arrest docket: | DV SIMPLE ASSAULT |
| Charge number: | 1 |
| Bond exp: | NO BOND |