| Date of birth: | May 8, 1957 |
| Hold: | no |
| Dna: | ? |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2015-013931 |
| Booking date: | Jul 13, 2015 |
| Release date: | Jul 14, 2015 |
| Booking location: | Polk County, FL |
| Statute: | 784.03(1A2) BATTERY-CAUSE BODILY HARM |
| Charge on arrest docket: | >DV-BATTERY CAUSE BODILY HARM |
| Bond type: | SBN |
| Bond exp: | SBN#2015-AA-045439 FOR $1000 |
| Bond amount: | $1,000 |
| Bond: | BOND EXP |