| Date of birth: | Feb 12, 1964 |
| Booking number: | 2016-023658 |
| Booking date: | Jun 19, 2016 |
| Booking location: | Polk County, FL |
| Surety: | 5000.00 |
| Statute: | 784.03(1)(A)1.* Dom Viol-Battery Touch or Strike |
| Charge on arrest docket: | >DV BATTERY TOUCH OR STRIKE |
| Bond type: | CS |