| Date of birth: | Feb 10, 1959 |
| Hold: | no |
| Arresting agency: | BARTOW POLICE DEPT. |
| Booking number: | 2004-005011 |
| Booking date: | Mar 2, 2004 |
| Release date: | Mar 3, 2004 |
| Booking location: | Polk County, FL |
| Surety: | 100 |
| Statute: | 784.03(1A1) BATTERY-TOUCH OR STRIKE |
| Charge on arrest docket: | BATTERY DV |
| Charge number: | 1 |
| Cash: | 100 |
| Bond type: | CBN |
| Bond number: | 04-000458 |
| Bond exp: | CBN 04-000458 FOR 100.00 |
| Bond amount: | $100 |