| Date of birth: | Jan 22, 1945 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2001-024638 |
| Booking date: | Nov 5, 2001 |
| Release date: | Nov 28, 2001 |
| Booking location: | Polk County, FL |
| Statute: | 784.03(1A1) BATTERY-TOUCH OR STRIKE |
| Charge on arrest docket: | BATT DV |
| Charge number: | 1 |