| Date of birth: | Oct 12, 1956 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 1997-023579 |
| Booking date: | Dec 21, 1997 |
| Release date: | Dec 22, 1997 |
| Booking location: | Polk County, FL |
| Statute: | 784.03 BATTERY-SERIOUS INJURY |
| Charge on arrest docket: | BATTERY DV |
| Charge number: | 1 |
| Bond exp: | NO BOND |