| Date of birth: | Oct 2, 1955 |
| Hold: | no |
| Arresting agency: | BARTOW POLICE DEPT. |
| Booking number: | 2004-023291 |
| Booking date: | Oct 14, 2004 |
| Release date: | Oct 28, 2004 |
| Booking location: | Polk County, FL |
| Statute: | 784.03(1A1) BATTERY-TOUCH OR STRIKE |
| Charge on arrest docket: | BATTERY DV |
| Charge number: | 1 |
| Statute: | 784.03(1A1) BATTERY-TOUCH OR STRIKE |
| Charge on arrest docket: | BATTERY DV PTR REVOKED A/O 101404 |
| Charge number: | 2 |