| Date of birth: | Dec 28, 1958 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2012-025141 |
| Booking date: | Oct 4, 2012 |
| Release date: | Oct 6, 2012 |
| Booking location: | Polk County, FL |
| Statute: | 784.03(1A1) BATTERY-TOUCH OR STRIKE |
| Charge on arrest docket: | BATTERY TOUCH OR STRIKE - DV |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | PC20100113 |
| Bond exp: | SBN# PC2-01001130 $500.00 |
| Bond amount: | $500 |