| Date of birth: | Mar 20, 1933 |
| Hold: | no |
| Arresting agency: | HAINES CITY POLICE DEPT. |
| Booking number: | 1998-024460 |
| Booking date: | Dec 10, 1998 |
| Release date: | Dec 10, 1998 |
| Booking location: | Polk County, FL |
| Surety: | 5000 |
| Statute: | 784.045 AGG BATTERY |
| Charge on arrest docket: | AGG BATTERY DV |
| Charge number: | 1 |
| Cash: | 5000 |
| Bond exp: | PTR 121098 |