| Date of birth: | Aug 25, 1937 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2014-026761 |
| Booking date: | Dec 25, 2014 |
| Release date: | Dec 26, 2014 |
| Booking location: | Polk County, FL |
| Statute: | 784.011 SIMPLE ASSLT-INTENT THREAT TO DO VIOLENCE |
| Charge on arrest docket: | DV SIMPLE ASSAULT |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | PC20115510 |
| Bond exp: | SBN#PC2-01155107 $500 |
| Bond amount: | $500 |
