| Date of birth: | Oct 3, 1958 |
| Hold: | no |
| Arresting agency: | DUNDEE POLICE DEPT. |
| Booking number: | 2004-004093 |
| Booking date: | Feb 20, 2004 |
| Release date: | Feb 21, 2004 |
| Booking location: | Polk County, FL |
| Statute: | 784.021(1A) AGGRAV ASSLT-W DEADLY WEAPON WITHOUT INTENT TO KIL |
| Charge on arrest docket: | AGGRAVATED ASSAULT |
| Charge number: | 1 |