| Date of birth: | Sep 13, 1949 |
| Hold: | no |
| Arresting agency: | BARTOW POLICE DEPT. |
| Booking number: | 1999-001745 |
| Booking date: | Jan 24, 1999 |
| Release date: | Jan 25, 1999 |
| Booking location: | Polk County, FL |
| Statute: | 877.03 DISORD CONDUCT-SERIOUS INJURY |
| Charge on arrest docket: | DISORDERLY CONDUCT |
| Charge number: | 1 |