| Date of birth: | Oct 22, 1961 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2005-025061 |
| Booking date: | Oct 15, 2005 |
| Release date: | Nov 9, 2005 |
| Booking location: | Polk County, FL |
| Statute: | 784.011 SIMPLE ASSLT-INTENT THREAT TO DO VIOLENCE |
| Charge on arrest docket: | ASSAULT INTENT TO DO VIOLENCE DV |
| Charge number: | 1 |
