| Date of birth: | Dec 15, 1944 |
| Hold: | no |
| Arresting agency: | FORT MEADE POLICE DEPT. |
| Booking number: | 1999-004357 |
| Booking date: | Feb 28, 1999 |
| Release date: | Mar 1, 1999 |
| Booking location: | Polk County, FL |
| Statute: | 784.03 BATTERY-SERIOUS INJURY |
| Charge on arrest docket: | BATTERY (DV) |
| Charge number: | 1 |
| Bond exp: | NO BOND |