| Date of birth: | Mar 20, 1973 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 1999-005703 |
| Booking date: | Mar 18, 1999 |
| Release date: | Mar 19, 1999 |
| Booking location: | Polk County, FL |
| Statute: | 784.03 BATTERY-SERIOUS INJURY |
| Charge on arrest docket: | BATTERY (DOMESTIC VIOLENCE) |
| Charge number: | 1 |
| Bond exp: | PTR 031999 |