| Date of birth: | Oct 5, 1954 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2004-008249 |
| Booking date: | Apr 9, 2004 |
| Release date: | Apr 10, 2004 |
| Booking location: | Polk County, FL |
| Statute: | 790.01(2) CARRYING CONCEALED WEAPON-FIREARM |
| Charge on arrest docket: | CARRYING CONCEALED FIREARM |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | AA031394 |
| Bond exp: | SBN 2004-AA-031394 FOR $5000.0 |
| Bond amount: | $5,000 |
| Statute: | 784.021(1A) AGGRAV ASSLT-W DEADLY WEAPON WITHOUT INTENT TO KIL |
| Charge on arrest docket: | AGG ASSLT |
| Charge number: | 2 |
| Bond type: | SBN |
| Bond number: | AA031394 |
| Bond exp: | BB W/CHG 1 PTR COND OF BOND |