| Date of birth: | Aug 9, 1954 |
| Hold: | no |
| Arresting agency: | BARTOW POLICE DEPT. |
| Booking number: | 2004-024330 |
| Booking date: | Oct 26, 2004 |
| Release date: | Oct 27, 2004 |
| Booking location: | Polk County, FL |
| Statute: | 784.03(1A1) BATTERY-TOUCH OR STRIKE |
| Charge on arrest docket: | BATTERY DV |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | AA04392643 |
| Bond exp: | SBN #AA04-392643 5000.00 |
| Bond amount: | $5,000 |