| Date of birth: | May 22, 1942 |
| Hold: | no |
| Arresting agency: | DPT OF CRCTS PROB BARTOW |
| Booking number: | 2002-013182 |
| Booking date: | Jun 18, 2002 |
| Release date: | Jul 18, 2002 |
| Booking location: | Polk County, FL |
| Statute: | 948.06 PROB VIOLATION-OR COMMTY CONT RE UNK/FEL/MISD/JUV |
| Charge on arrest docket: | VOP- BATTERY DV |
| Charge number: | 1 |