| Date of birth: | Sep 12, 1923 |
| Hold: | no |
| Arresting agency: | LAKELAND POLICE DEPT. |
| Booking number: | 1998-018949 |
| Booking date: | Sep 26, 1998 |
| Release date: | Oct 1, 1998 |
| Booking location: | Polk County, FL |
| Statute: | 784.03 BATTERY-SERIOUS INJURY |
| Charge on arrest docket: | BATT DV |
| Charge number: | 1 |