| Date of birth: | Jun 9, 1961 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 1999-000672 |
| Booking date: | Jan 9, 1999 |
| Release date: | Jan 10, 1999 |
| Booking location: | Polk County, FL |
| Statute: | 784.011 ASSAULT-SERIOUS INJURY |
| Charge on arrest docket: | ASSAULT DV |
| Charge number: | 1 |