| Date of birth: | Dec 12, 1964 |
| Disposition of hold: | PTR |
| Booking number: | 2015-033117 |
| Booking date: | Nov 23, 2015 |
| Release date: | Nov 24, 2015 |
| Booking location: | Polk County, FL |
| Statute: | 784.03 Battery Evidencing Prejudice |
| Charge on arrest docket: | >DV BATTERY |