| Date of birth: | Jul 26, 1960 |
| Hold: | no |
| Booking number: | 2010-009923 |
| Booking date: | Apr 28, 2010 |
| Release date: | Jun 10, 2010 |
| Booking location: | Polk County, FL |
| Statute: | 784.021(1A) AGGRAV ASSLT - WEAPON-W DEADLY WEAPON WITHOUT INTE |
| Charge on arrest docket: | AGG ASSAULT W/DEAD WEAPON ORD REVOK PTR |
| Charge number: | 1 |