| Date of birth: | Jun 16, 1965 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2010-013873 |
| Booking date: | Jun 12, 2010 |
| Release date: | Jun 13, 2010 |
| Booking location: | Polk County, FL |
| Statute: | 784.03(1A1) BATTERY-TOUCH OR STRIKE |
| Charge on arrest docket: | BATTERY-DV |
| Charge number: | 1 |