| Date of birth: | Dec 19, 1941 |
| Hold: | no |
| Arresting agency: | LAKE ALFRED POLICE DEPT. |
| Booking number: | 2003-017613 |
| Booking date: | Aug 14, 2003 |
| Release date: | Aug 26, 2003 |
| Booking location: | Polk County, FL |
| Statute: | 784.03(1A1) BATTERY-TOUCH OR STRIKE |
| Charge on arrest docket: | BATTERY DOMESTIC |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | BOND EXP |
| Bond exp: | PTR/SBN #BB1303590 FOR 5000 |
| Bond amount: | $5,000 |