| Date of birth: | Mar 20, 1960 |
| Hold: | no |
| Booking number: | 1995-010833 |
| Booking date: | Jul 4, 1995 |
| Release date: | Jul 5, 1995 |
| Booking location: | Polk County, FL |
| Surety: | 5000 |
| Statute: | 784.03 BATTERY-NON SERIOUS INJURY |
| Charge on arrest docket: | BATT DV |
| Charge number: | 1 |
| Cash: | 5000 |