| Date of birth: | Aug 13, 1948 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2003-022378 |
| Booking date: | Oct 13, 2003 |
| Release date: | Oct 14, 2003 |
| Booking location: | Polk County, FL |
| Statute: | 784.021(1A) AGGRAV ASSLT-W DEADLY WEAPON WITHOUT INTENT TO KIL |
| Charge on arrest docket: | AGGRAVATED ASSAULT DOMESTIC VIOLENCE |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | BOND EXP |
| Bond exp: | SBN#AA03-334562 FOR $5000.00 |
| Bond amount: | $5,000 |
