| Date of birth: | Jan 13, 1927 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2003-027812 |
| Booking date: | Dec 25, 2003 |
| Release date: | Dec 26, 2003 |
| Booking location: | Polk County, FL |
| Statute: | 784.045(1A1) AGGRAV BATTERY-CAUSE BODILY HARM OR DISABILITY |
| Charge on arrest docket: | AGG BATTERY (DV/VICTIM OVER 65 YRS OLD) |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | AA03350720 |
| Bond exp: | SBN#AA03-350720 $5000 ROR PTR |
| Bond amount: | $5,000 |
