| Date of birth: | Apr 9, 1948 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2012-031055 |
| Booking date: | Dec 12, 2012 |
| Booking location: | Polk County, FL |
| Surety: | 3000 |
| Statute: | 784.03(1A1) BATTERY-TOUCH OR STRIKE |
| Charge on arrest docket: | BATTERY TOUCH OR STRIKE DOMESTIC VIOLENC |
| Charge number: | 1 |
| Cash: | 3000 |
| Bond exp: | PTR CONDS |