| Date of birth: | Nov 27, 1944 |
| Hold: | no |
| Booking number: | 1996-013498 |
| Booking date: | Aug 10, 1996 |
| Release date: | Aug 11, 1996 |
| Booking location: | Polk County, FL |
| Surety: | 2000 |
| Statute: | 784.021 AGG ASSAULT |
| Charge on arrest docket: | AGG ASSAULT DV |
| Charge number: | 1 |
| Cash: | 2000 |
| Bond type: | SBN |
| Bond number: | 1180962 |
| Bond amount: | $2,000 |
