| Date of birth: | Jun 22, 1957 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2013-007331 |
| Booking date: | Mar 30, 2013 |
| Release date: | Mar 31, 2013 |
| Booking location: | Polk County, FL |
| Statute: | 784.03(1A1) BATTERY-TOUCH OR STRIKE |
| Charge on arrest docket: | DOMESTIC VIOLENCE BATTERY TOUCH OR STRIK |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | PC20104136 |
| Bond exp: | SBN/PTR PC201041367 $1000.00 |
| Bond amount: | $1,000 |