| Date of birth: | Apr 23, 1969 |
| Hold: | no |
| Dna: | yes |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2012-010990 |
| Booking date: | May 2, 2012 |
| Release date: | May 4, 2012 |
| Booking location: | Polk County, FL |
| Statute: | 784.021(1A) AGGRAV ASSLT - WEAPON-W DEADLY WEAPON WITHOUT INTE |
| Charge on arrest docket: | AGGR ASSAULT DV |
| Charge number: | 1 |
| Bond type: | CBN |
| Bond number: | 12-001201 |
| Bond exp: | CBN#12-001201 FOR $5000.00 |
| Bond amount: | $5,000 |