| Date of birth: | Jun 25, 1976 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2012-015806 |
| Booking date: | Jun 20, 2012 |
| Release date: | Jun 22, 2012 |
| Booking location: | Polk County, FL |
| Statute: | 784.03(1A1) BATTERY-TOUCH OR STRIKE |
| Charge on arrest docket: | BATTERY (D/V) |
| Charge number: | 1 |