| Date of birth: | Jan 3, 1957 |
| Hold: | no |
| Arresting agency: | DUNDEE POLICE DEPT. |
| Booking number: | 2004-013918 |
| Booking date: | Jun 17, 2004 |
| Release date: | Jun 19, 2004 |
| Booking location: | Polk County, FL |
| Statute: | 784.045(1A1) AGGRAV BATTERY-CAUSE BODILY HARM OR DISABILITY |
| Charge on arrest docket: | AGGRAVATED BATTERY |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | 2004CC0016 |
| Bond exp: | SBN/PTR 2004-CC-001673 15000.0 |
| Bond amount: | $15,000 |
