| Date of birth: | Sep 19, 1943 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2013-000982 |
| Booking date: | Jan 12, 2013 |
| Booking location: | Polk County, FL |
| Statute: | 784.03(1a1) BATTERY-TOUCH OR STRIKE |
| Charge on arrest docket: | BATTERY DOMESTIC VIOLENCE |
| Charge number: | 1 |
| Bond exp: | NO BOND |