| Date of birth: | Dec 13, 1922 |
| Hold: | no |
| Arresting agency: | WINTER HAVEN POLICE DEPT. |
| Booking number: | 2001-025713 |
| Booking date: | Nov 18, 2001 |
| Release date: | Nov 19, 2001 |
| Booking location: | Polk County, FL |
| Statute: | 784.021(1A) AGGRAV ASSLT-W DEADLY WEAPON WITHOUT INTENT TO KIL |
| Charge on arrest docket: | AGG ASSAULT |
| Charge number: | 1 |
| Statute: | 810.02(2A) BURGL-WITH ASSAULT OR BATTERY |
| Charge on arrest docket: | BURG- ARMED |
| Charge number: | 2 |