| Date of birth: | Oct 17, 1962 |
| Hold: | no |
| Dna: | ? |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2015-012441 |
| Booking date: | Jun 23, 2015 |
| Release date: | Jun 25, 2015 |
| Booking location: | Polk County, FL |
| Statute: | 784.03(1A1) BATTERY-TOUCH OR STRIKE |
| Charge on arrest docket: | >DV BATTERY |
| Bond type: | SBN |
| Bond exp: | SBN# AS6K-498090 1000.00 |
| Bond amount: | $1,000 |
| Bond: | AS6K498090 |