| Date of birth: | Jan 2, 1959 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2005-024255 |
| Booking date: | Oct 7, 2005 |
| Release date: | Oct 9, 2005 |
| Booking location: | Polk County, FL |
| Statute: | 784.03(1A1) BATTERY-TOUCH OR STRIKE |
| Charge on arrest docket: | BATTERY(DOMESTIC VIOLENCE) |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | 560199552 |
| Bond exp: | SBN 560199552 FOR $5000.00 |
| Bond amount: | $5,000 |