| Date of birth: | Jan 16, 1953 |
| Hold: | no |
| Booking number: | 1996-006957 |
| Booking date: | Apr 22, 1996 |
| Release date: | Apr 23, 1996 |
| Booking location: | Polk County, FL |
| Statute: | 784.045 AGG BATTERY |
| Charge on arrest docket: | AGGR BATT DV |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | X073586922 |
| Bond amount: | $5,000 |