| Date of birth: | Mar 7, 1961 |
| Registered felon date: | Aug 2, 2012 |
| Hold: | no |
| Dna: | yes |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2012-015928 |
| Booking date: | Jun 21, 2012 |
| Release date: | Aug 2, 2012 |
| Booking location: | Polk County, FL |
| Statute: | 784.03(2) BATTERY-2ND OR SUBSQ OFF |
| Charge on arrest docket: | BATTERY 2ND OR SUBSQ OFF (DV) |
| Charge number: | 1 |