| Date of birth: | Jun 5, 1954 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2013-006767 |
| Booking date: | Mar 23, 2013 |
| Release date: | Mar 24, 2013 |
| Booking location: | Polk County, FL |
| Statute: | 784.021(1B) ASSAULT-WITH INTENT TO COMMIT A FELONY |
| Charge on arrest docket: | DV ASSLT WIT COMMIT A FELONY |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | AD12018089 |
| Bond exp: | PTR/SBN#AD12-018089 $25,000.00 |
| Bond amount: | $25,000 |