| Date of birth: | Sep 12, 1970 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2004-007794 |
| Booking date: | Apr 3, 2004 |
| Release date: | Apr 4, 2004 |
| Booking location: | Polk County, FL |
| Statute: | 784.03(1A1) BATTERY-TOUCH OR STRIKE |
| Charge on arrest docket: | BATTERY DV |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | 12132482 |
| Bond exp: | SBN #R3-12132482 1000.00 |
| Bond amount: | $1,000 |