| Date of birth: | May 4, 1962 |
| Booking number: | 2015-029408 |
| Booking date: | Oct 24, 2015 |
| Booking location: | Polk County, FL |
| Surety: | 5000.00 |
| Statute: | 784.045(1)(A)2...* Dom Viol-Agg Battery Deadly Weapon |
| Charge on arrest docket: | >Dom Viol-Agg Battery Deadly Weapon |
| Bond type: | CS |