| Date of birth: | Mar 11, 1952 |
| Hold: | no |
| Booking number: | 1996-008309 |
| Booking date: | May 12, 1996 |
| Release date: | May 13, 1996 |
| Booking location: | Polk County, FL |
| Statute: | 784.03 BATTERY-NON SERIOUS INJURY |
| Charge on arrest docket: | BATTERY DV |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | IC1167973 |
| Bond amount: | $5,000 |