| Date of birth: | Jul 11, 1967 |
| Hold: | no |
| Inmate location: | SOUTH JAIL BLDG 7 DORM P |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2012-028256 |
| Booking date: | Nov 8, 2012 |
| Booking location: | Polk County, FL |
| Surety: | 500 |
| Statute: | 784.03(1A1) BATTERY-TOUCH OR STRIKE |
| Charge on arrest docket: | BATTERY SIMPLE |
| Charge number: | 1 |
| Cash: | 500 |