| Date of birth: | May 21, 1951 |
| Hold: | no |
| Arresting agency: | HAINES CITY POLICE DEPT. |
| Booking number: | 2011-016550 |
| Booking date: | Jul 14, 2011 |
| Release date: | Jul 16, 2011 |
| Booking location: | Polk County, FL |
| Statute: | 784.011 SIMPLE ASSLT-INTENT THREAT TO DO VIOLENCE |
| Charge on arrest docket: | ASSAULT DV |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | BB02621953 |
| Bond exp: | SBN#BB02621953 FOR $3000.00 |
| Bond amount: | $3,000 |
