| Date of birth: | Feb 4, 1968 |
| Hold: | no |
| Inmate location: | SOUTH JAIL BLDG 3 FORM H |
| Arresting agency: | HAINES CITY POLICE DEPT. |
| Booking number: | 2015-009167 |
| Booking date: | May 10, 2015 |
| Booking location: | Polk County, FL |
| Surety: | 1000 |
| Statute: | 784.021(1B) ASSAULT-WITH INTENT TO COMMIT A FELONY |
| Charge on arrest docket: | DV ASSAULT INTENT COMMIT FELONY |
| Charge number: | 1 |
| Cash: | 1000 |
| Bond exp: | W/PTR COND |