| Date of birth: | Dec 25, 1944 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 1999-014283 |
| Booking date: | Jul 6, 1999 |
| Release date: | Jul 7, 1999 |
| Booking location: | Polk County, FL |
| Statute: | 948.06 VIOL PROB/COMM CNTRL |
| Charge on arrest docket: | VOP AGG ASSAULT |
| Charge number: | 1 |