| Date of birth: | Mar 13, 1952 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 1999-013109 |
| Booking date: | Jun 19, 1999 |
| Release date: | Jun 20, 1999 |
| Booking location: | Polk County, FL |
| Statute: | 784.03 BATTERY-SERIOUS INJURY |
| Charge on arrest docket: | BATTERY DV |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | X07-6-0092 |
| Bond exp: | SBN X07-6-00922694 $5,000. |
| Bond amount: | $5,000 |