| Date of birth: | May 25, 1947 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2010-001805 |
| Booking date: | Jan 23, 2010 |
| Release date: | Jan 24, 2010 |
| Booking location: | Polk County, FL |
| Statute: | 784.03(1A1) BATTERY-TOUCH OR STRIKE |
| Charge on arrest docket: | BATTERY |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | PC20084890 |
| Bond exp: | SBN #PC2-00848900 FOR $500.00 |
| Bond amount: | $500 |