| Date of birth: | Dec 28, 1938 |
| Hold: | no |
| Dna: | yes |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2015-010122 |
| Booking date: | May 22, 2015 |
| Booking location: | Polk County, FL |
| Surety: | 5000 |
| Statute: | 784.08(2C) BATTERY-ON PERSON 65 YEARS OF AGE OR OLDER |
| Charge on arrest docket: | DV BATTERY ON PERSON OVER 65 YOA |
| Charge number: | 1 |
| Cash: | 5000 |
| Bond exp: | PTR |