| Date of birth: | Jan 12, 1959 |
| Hold: | no |
| Arresting agency: | WINTER HAVEN POLICE DEPT. |
| Booking number: | 2004-009602 |
| Booking date: | Apr 25, 2004 |
| Release date: | Apr 26, 2004 |
| Booking location: | Polk County, FL |
| Statute: | 784.021(1B) AGGRAV ASSLT-WITH INTENT TO COMMIT A FELONY |
| Charge on arrest docket: | AGGRAVATED ASSAULT |
| Charge number: | 1 |