| Date of birth: | May 24, 1956 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2013-021710 |
| Booking date: | Sep 30, 2013 |
| Release date: | Oct 2, 2013 |
| Booking location: | Polk County, FL |
| Statute: | 784.03(1A1) BATTERY-TOUCH OR STRIKE |
| Charge on arrest docket: | BATTERY TOUCH OR STRIKE - DV |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | AA13107783 |
| Bond exp: | SBN #AA13-107783 $5000 |
| Bond amount: | $5,000 |