| Date of birth: | Apr 26, 1959 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2000-020671 |
| Booking date: | Oct 6, 2000 |
| Release date: | Oct 7, 2000 |
| Booking location: | Polk County, FL |
| Statute: | 784.03(1A1) BATTERY-TOUCH OR STRIKE |
| Charge on arrest docket: | BATTERY (DOMESTIC VIOLENCE) |
| Charge number: | 1 |