| Date of birth: | Sep 28, 1954 |
| Hold: | no |
| Dna: | yes |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2014-005813 |
| Booking date: | Mar 21, 2014 |
| Booking location: | Polk County, FL |
| Surety: | 2000 |
| Statute: | 784.021(1A) AGGRAV ASSLT - WEAPON-W DEADLY WEAPON WITHOUT INTE |
| Charge on arrest docket: | DOMESTIC VIOL AGG ASSAULT DEADLY W/O INT |
| Charge number: | 1 |
| Cash: | 2000 |
| Bond exp: | PTR COND OF BOND |