| Date of birth: | Dec 27, 1959 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2012-016603 |
| Booking date: | Jun 29, 2012 |
| Release date: | Jun 30, 2012 |
| Booking location: | Polk County, FL |
| Statute: | 784.03(1A1) BATTERY-TOUCH OR STRIKE |
| Charge on arrest docket: | BATTERY - TOUCH OR STRIKE - DV |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | AA12988903 |
| Bond exp: | PTR/SBN#AA12-988903 $500 |
| Bond amount: | $500 |