| Date of birth: | Jan 5, 1948 |
| Hold: | no |
| Dna: | yes |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2013-009962 |
| Booking date: | May 2, 2013 |
| Booking location: | Polk County, FL |
| Statute: | 784.021(1A) AGGRAV ASSLT - WEAPON-W DEADLY WEAPON WITHOUT INTE |
| Charge on arrest docket: | AGG ASSAULT - DV |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | PC70104280 |
| Bond exp: | SBN# PC7-01042807 $5000.00 |
| Bond amount: | $5,000 |
