| Date of birth: | Jun 26, 1964 |
| Hold: | no |
| Booking number: | 1996-012090 |
| Booking date: | Jul 17, 1996 |
| Release date: | Jul 18, 1996 |
| Booking location: | Polk County, FL |
| Statute: | 784.03 BATTERY-NON SERIOUS INJURY |
| Charge on arrest docket: | BATT(SIMPLE) |
| Charge number: | 1 |