| Date of birth: | Aug 4, 1979 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2004-013010 |
| Booking date: | Jun 6, 2004 |
| Release date: | Jun 6, 2004 |
| Booking location: | Polk County, FL |
| Statute: | 870.01(1) DISORD CONDUCT-AFFRAY |
| Charge on arrest docket: | AFFRAY |
| Charge number: | 1 |
| Bond type: | CBN |
| Bond number: | 04-001212 |
| Bond exp: | CBN 04-1212 FOR $500 |
| Bond amount: | $500 |