| Date of birth: | Nov 30, 1927 |
| Hold: | no |
| Booking number: | 1995-018464 |
| Booking date: | Nov 13, 1995 |
| Release date: | Nov 13, 1995 |
| Booking location: | Polk County, FL |
| Statute: | 784.03 BATTERY-NON SERIOUS INJURY |
| Charge on arrest docket: | BATT (DV) FTA SARR |
| Charge number: | 1 |
| Bond type: | CBN |
| Bond number: | 00010849 |
| Bond amount: | $250 |