| Date of birth: | Jul 25, 1941 |
| Hold: | no |
| Arresting agency: | LAKE ALFRED POLICE DEPT. |
| Booking number: | 2003-020266 |
| Booking date: | Sep 15, 2003 |
| Release date: | Sep 16, 2003 |
| Booking location: | Polk County, FL |
| Statute: | 784.021(1A) AGGRAV ASSLT-W DEADLY WEAPON WITHOUT INTENT TO KIL |
| Charge on arrest docket: | AGG ASSAULT W/A DEADLY WEAPON |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | AA03334311 |
| Bond exp: | AA03-334311 FOR 1000 |
| Bond amount: | $1,000 |