| Date of birth: | Jan 19, 1957 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2004-025737 |
| Booking date: | Nov 12, 2004 |
| Release date: | Nov 12, 2004 |
| Booking location: | Polk County, FL |
| Statute: | 784.021(1A) AGGRAV ASSLT - WEAPON-W DEADLY WEAPON WITHOUT INTE |
| Charge on arrest docket: | ASSLT W/DEADLY WEAPON (DV) |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | 2004BB0160 |
| Bond exp: | SBN 2004BB016046 FOR $10000.00 |
| Bond amount: | $10,000 |
| Statute: | 784.03(1A1) BATTERY-TOUCH OR STRIKE |
| Charge on arrest docket: | BATTERY (DV) |
| Charge number: | 2 |
| Bond type: | SBN |
| Bond number: | 2004BB0160 |
| Bond exp: | BB SBN 2004BB016046 W/ CHRG 1 |
