| Date of birth: | Aug 11, 1950 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 1997-015505 |
| Booking date: | Aug 15, 1997 |
| Release date: | Aug 16, 1997 |
| Booking location: | Polk County, FL |
| Statute: | 784.021 AGG ASSAULT |
| Charge on arrest docket: | AGG ASSAULT DV |
| Charge number: | 1 |
| Statute: | 784.03 BATTERY-NON SERIOUS INJURY |
| Charge on arrest docket: | BATT DV |
| Charge number: | 2 |