| Date of birth: | Feb 16, 1930 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 1997-017862 |
| Booking date: | Sep 20, 1997 |
| Release date: | Oct 14, 1997 |
| Booking location: | Polk County, FL |
| Statute: | 784.03 BATTERY-NON SERIOUS INJURY |
| Charge on arrest docket: | BATTERY DV |
| Charge number: | 1 |
| Bond exp: | NO BOND |
| Statute: | 784.011 ASSAULT-INTIMIDATION |
| Charge on arrest docket: | ASSAULT DV |
| Charge number: | 2 |
| Bond exp: | NO BOND |
