| Date of birth: | Mar 4, 1959 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2012-030113 |
| Booking date: | Dec 1, 2012 |
| Release date: | Dec 1, 2012 |
| Booking location: | Polk County, FL |
| Statute: | 784.03(1a1) BATTERY-TOUCH OR STRIKE |
| Charge on arrest docket: | BATTERY |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | AA12028131 |
| Bond exp: | SBN#AA12-028131 $500.00 |
| Bond amount: | $500 |