| Date of birth: | Jun 13, 1959 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2004-010465 |
| Booking date: | May 5, 2004 |
| Release date: | Jun 21, 2004 |
| Booking location: | Polk County, FL |
| Statute: | 741.31(4A) CONTEMPT OF COURT-VIOL INJUNCTION PROTECTION DOMES |
| Charge on arrest docket: | VIOL INJUNCTION FOR PROTECTION/DV |
| Charge number: | 1 |
| Statute: | 741.31(4A) CONTEMPT OF COURT-VIOL INJUNCTION PROTECTION DOMES |
| Charge on arrest docket: | VIOL INJ FOR PROTECTION(DV) |
| Charge number: | 2 |