| Date of birth: | Nov 17, 1956 |
| Hold: | no |
| Arresting agency: | LAKELAND POLICE DEPT. |
| Booking number: | 2012-028534 |
| Booking date: | Nov 11, 2012 |
| Release date: | Nov 13, 2012 |
| Booking location: | Polk County, FL |
| Statute: | 784.03(1A1) BATTERY-TOUCH OR STRIKE |
| Charge on arrest docket: | BATTERY (DOMESTIC VIOLENCE) |
| Charge number: | 1 |
| Bond type: | CBN |
| Bond number: | 12-002724 |
| Bond exp: | CBN#12-002724 $2500 |
| Bond amount: | $2,500 |