| Date of birth: | Aug 23, 1944 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 1998-007684 |
| Booking date: | Apr 20, 1998 |
| Release date: | Apr 20, 1998 |
| Booking location: | Polk County, FL |
| Statute: | 784.03 BATTERY-SERIOUS INJURY |
| Charge on arrest docket: | BATTERY (DV) |
| Charge number: | 1 |