| Date of birth: | Sep 14, 1944 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 1999-007199 |
| Booking date: | Apr 6, 1999 |
| Release date: | Apr 10, 1999 |
| Booking location: | Polk County, FL |
| Statute: | 784.045 AGG BATTERY |
| Charge on arrest docket: | AGG. BATTERY DV |
| Charge number: | 1 |
| Statute: | 784.021 AGG ASSAULT |
| Charge on arrest docket: | AGG ASSAULT DV |
| Charge number: | 2 |
