| Date of birth: | Oct 9, 1947 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2014-017647 |
| Booking date: | Aug 21, 2014 |
| Release date: | Aug 22, 2014 |
| Booking location: | Polk County, FL |
| Statute: | 784.03(1A1) BATTERY-TOUCH OR STRIKE |
| Charge on arrest docket: | BATTERY DV INFO FILED BY SAO |
| Charge number: | 1 |