| Date of birth: | Jul 15, 1954 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2012-017599 |
| Booking date: | Jul 10, 2012 |
| Release date: | Jul 13, 2012 |
| Booking location: | Polk County, FL |
| Statute: | 784.03(1A1) BATTERY-TOUCH OR STRIKE |
| Charge on arrest docket: | BATTERY DV |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | AA12993033 |
| Bond exp: | SBN AA12993033 FOR 5000.00 |
| Bond amount: | $5,000 |