| Date of birth: | Oct 13, 1954 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 1999-006700 |
| Booking date: | Mar 31, 1999 |
| Release date: | Apr 1, 1999 |
| Booking location: | Polk County, FL |
| Statute: | 784.021 AGG ASSAULT |
| Charge on arrest docket: | AGGRAVATED ASSAULT (D/V) |
| Charge number: | 1 |
| Bond exp: | PTR 040199 |