| Date of birth: | Mar 28, 1963 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2004-028085 |
| Booking date: | Dec 11, 2004 |
| Release date: | Jan 18, 2005 |
| Booking location: | Polk County, FL |
| Statute: | 784.03(1A1) BATTERY-TOUCH OR STRIKE |
| Charge on arrest docket: | BATTERY DV |
| Charge number: | 1 |
| Statute: | 784.021(1A) AGGRAV ASSLT - WEAPON-W DEADLY WEAPON WITHOUT INTE |
| Charge on arrest docket: | AGG ASSLT (HAMMER) |
| Charge number: | 2 |