| Date of birth: | Jul 22, 1963 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2012-027719 |
| Booking date: | Nov 2, 2012 |
| Booking location: | Polk County, FL |
| Statute: | 784.021(1a) AGGRAV ASSLT - WEAPON-W DEADLY WEAPON WITHOUT INTE |
| Charge on arrest docket: | ASSLT W/DEADLY WPN W/O INTENT TO KILL |
| Charge number: | 1 |
| Bond exp: | NO BOND |