| Date of birth: | Aug 26, 1959 |
| Hold: | no |
| Arresting agency: | HAINES CITY POLICE DEPT. |
| Booking number: | 2015-008696 |
| Booking date: | May 4, 2015 |
| Release date: | May 5, 2015 |
| Booking location: | Polk County, FL |
| Statute: | 784.03(1A1) BATTERY-TOUCH OR STRIKE |
| Charge on arrest docket: | DV BATTERY |
| Charge number: | 1 |