| Date of birth: | Dec 15, 1975 |
| Hold: | no |
| Booking number: | 1996-007063 |
| Booking date: | Apr 24, 1996 |
| Release date: | May 6, 1996 |
| Booking location: | Polk County, FL |
| Statute: | 784.03 BATTERY-NON SERIOUS INJURY |
| Charge on arrest docket: | BATTERY DV FTA DOCK |
| Charge number: | 1 |