| Date of birth: | Jun 23, 1949 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2004-000690 |
| Booking date: | Jan 9, 2004 |
| Release date: | Jan 9, 2004 |
| Booking location: | Polk County, FL |
| Statute: | 784.08(2C) BATTERY-ON PERSON 65 YEARS OF AGE OR OLDER |
| Charge on arrest docket: | BATTERY ON ELDERLY PERSON INFO FILED |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | AA03348971 |
| Bond exp: | SBN AA03348971 FOR $1000.00 |
| Bond amount: | $1,000 |
