| Date of birth: | Jan 18, 1953 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 1998-020511 |
| Booking date: | Oct 17, 1998 |
| Release date: | Oct 21, 1998 |
| Booking location: | Polk County, FL |
| Statute: | 784.03 BATTERY-SERIOUS INJURY |
| Charge on arrest docket: | BATTERY DOMESTIC VIOLENCE |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | R101094512 |
| Bond exp: | SBN/R10-10945128/$6000 |
| Bond amount: | $6,000 |