| Date of birth: | May 27, 1944 |
| Hold: | no |
| Dna: | yes |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2015-003961 |
| Booking date: | Feb 25, 2015 |
| Booking location: | Polk County, FL |
| Statute: | 784.045(1a2) AGGRAV BATTERY-PERSON USES A DEADLY WEAPON |
| Charge on arrest docket: | AGG BATTERY INFO FILED |
| Charge number: | 1 |
| Bond exp: | NO BOND |
| Surety: | 500 |
| Statute: | 812.014(2e) LARC-PETIT THEFT 1ST DEGREE 100 LESS 300 DOLS |
| Charge on arrest docket: | PETIT THEFT INFO FILED |
| Charge number: | 2 |
| Cash: | 500 |