| Date of birth: | Jun 17, 1952 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2014-014066 |
| Booking date: | Jul 5, 2014 |
| Release date: | Jul 6, 2014 |
| Booking location: | Polk County, FL |
| Statute: | 784.03(1A1) BATTERY-TOUCH OR STRIKE |
| Charge on arrest docket: | DV-BATTERY TOUCH OR STRIKE |
| Charge number: | 1 |