| Date of birth: | Jan 29, 1979 |
| Hold: | no |
| Arresting agency: | LAKE WALES POLICE DEPT. |
| Booking number: | 2004-020284 |
| Booking date: | Sep 6, 2004 |
| Release date: | Sep 8, 2004 |
| Booking location: | Polk County, FL |
| Statute: | 784.03(1A1) BATTERY-TOUCH OR STRIKE |
| Charge on arrest docket: | BATTERY-DOMESTIC VIOLENCE |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | 04AA066489 |
| Bond exp: | SBN#2004AA-066489 $5000 PTR |
| Bond amount: | $5,000 |