| Date of birth: | Sep 12, 1964 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 1997-021941 |
| Booking date: | Nov 22, 1997 |
| Release date: | Nov 23, 1997 |
| Booking location: | Polk County, FL |
| Statute: | 784.021 AGG ASSAULT |
| Charge on arrest docket: | AGGRAVATED ASSAULT DV |
| Charge number: | 1 |
| Bond exp: | NO BOND |