| Date of birth: | Apr 16, 1958 |
| Hold: | no |
| Booking number: | 1993-013379 |
| Booking date: | Oct 2, 1993 |
| Release date: | Oct 26, 1993 |
| Booking location: | Polk County, FL |
| Statute: | 784.03 BATTERY-NON SERIOUS INJURY |
| Charge on arrest docket: | BATT(FTA HREV) |
| Charge number: | 1 |
| Statute: | 810.08 TRESPASS STRUCT/CONVEYANCE |
| Charge on arrest docket: | T/PASS STRUCT/CONV(FTA HREV) |
| Charge number: | 2 |
| Statute: | 877.03 DISORD CONDUCT/BREACH OF THE PEACE |
| Charge on arrest docket: | BOP OR DIS COND(FTA HREV) |
| Charge number: | 3 |
