| Date of birth: | Feb 14, 1967 |
| Booking number: | 2016-047998 |
| Booking date: | Dec 16, 2016 |
| Booking location: | Polk County, FL |
| Surety: | 5000.00 |
| Statute: | 741.31(4)(A). Viol Inj for Protection against Domestic v |
| Charge on arrest docket: | >VIOL INJ FOR PROTECTION AGAINST DV |
| Bond type: | CS |