| Date of birth: | Jan 5, 1969 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2004-012660 |
| Booking date: | Jun 1, 2004 |
| Release date: | Jun 4, 2004 |
| Booking location: | Polk County, FL |
| Statute: | 784.03(1A1) BATTERY-TOUCH OR STRIKE |
| Charge on arrest docket: | BATTERY DV |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | BB1424439 |
| Bond exp: | SBN#BB1424439 $5000 ROR PTR |
| Bond amount: | $5,000 |