| Date of birth: | Sep 29, 1935 |
| Hold: | no |
| Booking number: | 1996-007531 |
| Booking date: | May 1, 1996 |
| Release date: | May 31, 1996 |
| Booking location: | Polk County, FL |
| Statute: | 784.03 BATTERY-NON SERIOUS INJURY |
| Charge on arrest docket: | BATTERY (SIMPLE) |
| Charge number: | 3 |
| Statute: | 784.021 AGG ASSAULT |
| Charge on arrest docket: | AGG ASSAULT |
| Charge number: | 1 |
| Statute: | 784.045 AGG BATTERY |
| Charge on arrest docket: | AGGRAVATED BATTERY |
| Charge number: | 2 |
