| Date of birth: | Sep 21, 1946 |
| Hold: | no |
| Arresting agency: | LAKELAND POLICE DEPT. |
| Booking number: | 1999-002275 |
| Booking date: | Jan 31, 1999 |
| Release date: | Jan 31, 1999 |
| Booking location: | Polk County, FL |
| Statute: | 784.03 BATTERY-SERIOUS INJURY |
| Charge on arrest docket: | SIMPLE BATTERY DOMESTIC |
| Charge number: | 1 |