| Date of birth: | Sep 24, 1970 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2012-019967 |
| Booking date: | Aug 5, 2012 |
| Release date: | Aug 6, 2012 |
| Booking location: | Polk County, FL |
| Statute: | 784.08(2B) ASSAULT-ON PERSON 65 YEARS OF AGE OR OLDER |
| Charge on arrest docket: | DOMESTIC VIOLENCE/AGGRAVATED |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | AA12988439 |
| Bond exp: | SBN AA12 988439 $5000.00 |
| Bond amount: | $5,000 |