| Date of birth: | Sep 19, 1944 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2013-003205 |
| Booking date: | Feb 6, 2013 |
| Booking location: | Polk County, FL |
| Statute: | 784.03(1A1) BATTERY-TOUCH OR STRIKE |
| Charge on arrest docket: | DOMESTIC VIOL-BATTERY TOUCH OR STRIKE |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | PC15010317 |
| Bond exp: | SBN PC15 01031733 $5000.00 |
| Bond amount: | $5,000 |