| Date of birth: | Nov 4, 1965 |
| Hold: | no |
| Booking number: | 1996-012730 |
| Booking date: | Jul 27, 1996 |
| Release date: | Jul 28, 1996 |
| Booking location: | Polk County, FL |
| Statute: | 784.045 AGG BATTERY |
| Charge on arrest docket: | AGGRAVTED BATTERY DV |
| Charge number: | 1 |
| Bond type: | CBN |
| Bond number: | 00012907 |
| Bond amount: | $100 |
