| Date of birth: | Feb 27, 1948 |
| Hold for: | MICHIGAN |
| Hold: | yes |
| Disposition of hold: | REL PER FAX |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2012-015363 |
| Booking date: | Jun 15, 2012 |
| Release date: | Jul 5, 2012 |
| Booking location: | Polk County, FL |
| Statute: | 784.03(1A1) BATTERY-TOUCH OR STRIKE |
| Charge on arrest docket: | BATTERY DV |
| Charge number: | 1 |
| Statute: | 941.13 OUT-OF-STATE-FUG |
| Charge on arrest docket: | FUGITIVE FROM JUSTICE (MICHIGAN) |
| Charge number: | 2 |