| Date of birth: | Dec 7, 1941 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2000-007479 |
| Booking date: | Apr 9, 2000 |
| Release date: | Apr 27, 2000 |
| Booking location: | Polk County, FL |
| Statute: | 784.021(1A) AGGRAV ASSLT-W DEADLY WEAPON WITHOUT INTENT TO KIL |
| Charge on arrest docket: | AGG ASSAULT DV |
| Charge number: | 1 |