| Date of birth: | Aug 15, 1954 |
| Hold: | no |
| Arresting agency: | HAINES CITY POLICE DEPT. |
| Booking number: | 2012-019373 |
| Booking date: | Jul 30, 2012 |
| Release date: | Jul 31, 2012 |
| Booking location: | Polk County, FL |
| Statute: | 784.03(1A1) BATTERY-TOUCH OR STRIKE |
| Charge on arrest docket: | BATTERY DOMESTIC VIOLENCE |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | AA12996962 |
| Bond exp: | SBN AA12 996962 $5000.00 |
| Bond amount: | $5,000 |
