| Date of birth: | Feb 17, 1964 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2005-028990 |
| Booking date: | Dec 4, 2005 |
| Release date: | Dec 6, 2005 |
| Booking location: | Polk County, FL |
| Statute: | 784.011 SIMPLE ASSLT-INTENT THREAT TO DO VIOLENCE |
| Charge on arrest docket: | ASSLT/DV |
| Charge number: | 1 |
| Bond type: | CBN |
| Bond number: | 05-002927 |
| Bond exp: | CBN #05-002927 FOR $2500.00 |
| Bond amount: | $2,500 |