| Date of birth: | Aug 10, 1945 |
| Hold: | no |
| Dna: | yes |
| Arresting agency: | WINTER HAVEN POLICE DEPT. |
| Booking number: | 2012-027742 |
| Booking date: | Nov 3, 2012 |
| Booking location: | Polk County, FL |
| Statute: | 784.021(1A) AGGRAV ASSLT - WEAPON-W DEADLY WEAPON WITHOUT INTE |
| Charge on arrest docket: | AGGR ASSLT W/DEADLY WEAP |
| Charge number: | 1 |
| Bond exp: | NO BOND |