| Date of birth: | Oct 12, 1949 |
| Hold: | no |
| Arresting agency: | LAKELAND POLICE DEPT. |
| Booking number: | 1998-000710 |
| Booking date: | Jan 11, 1998 |
| Release date: | Jan 11, 1998 |
| Booking location: | Polk County, FL |
| Surety: | 1000 |
| Statute: | 784.021 AGG ASSAULT |
| Charge on arrest docket: | AGG ASSAULT DOMESTIC VIOLENCE |
| Charge number: | 1 |
| Cash: | 1000 |