| Date of birth: | Aug 19, 1960 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 1999-014521 |
| Booking date: | Jul 9, 1999 |
| Release date: | Jul 10, 1999 |
| Booking location: | Polk County, FL |
| Statute: | 784.07 ASSAULT-LAW OFCR SERIOUS INJURY |
| Charge on arrest docket: | AGG ASSAULT DV |
| Charge number: | 1 |
| Statute: | 784.03 BATTERY-SERIOUS INJURY |
| Charge on arrest docket: | BATTERY DV |
| Charge number: | 2 |