| Date of birth: | Sep 25, 1959 |
| Hold: | no |
| Dna: | yes |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2013-003564 |
| Booking date: | Feb 10, 2013 |
| Release date: | Feb 10, 2013 |
| Booking location: | Polk County, FL |
| Statute: | 784.03(2) BATTERY-2ND OR SUBSQ OFF |
| Charge on arrest docket: | BATTERY 2ND OR SUB OFF |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | AA13046469 |
| Bond exp: | SBN#AA13-046469 $1000.00 |
| Bond amount: | $1,000 |