| Date of birth: | Feb 8, 1942 |
| Hold: | no |
| Dna: | yes |
| Inmate location: | SOUTH JAIL BLDG 1 DORM A |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2014-024051 |
| Booking date: | Nov 15, 2014 |
| Booking location: | Polk County, FL |
| Surety: | 5000 |
| Statute: | 784.021(1A) AGGRAV ASSLT - WEAPON-W DEADLY WEAPON WITHOUT INTE |
| Charge on arrest docket: | DV AGG ASSAULT DEADLY WO INTENT |
| Charge number: | 1 |
| Cash: | 5000 |