| Date of birth: | Sep 7, 1940 |
| Hold: | no |
| Arresting agency: | HAINES CITY POLICE DEPT. |
| Booking number: | 1998-002946 |
| Booking date: | Feb 12, 1998 |
| Release date: | Feb 15, 1998 |
| Booking location: | Polk County, FL |
| Statute: | 784.021 AGG ASSAULT |
| Charge on arrest docket: | AGGRAVATED ASSAULT-DOMESTIC VIOLENCE |
| Charge number: | 1 |