| Date of birth: | Jan 1, 1948 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 1997-014215 |
| Booking date: | Jul 27, 1997 |
| Release date: | Jul 31, 1997 |
| Booking location: | Polk County, FL |
| Statute: | 784.03 BATTERY-NON SERIOUS INJURY |
| Charge on arrest docket: | BATT DV |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | X076007567 |
| Bond amount: | $5,000 |
