| Date of birth: | May 30, 1959 |
| Hold: | no |
| Booking number: | 1994-019154 |
| Booking date: | Dec 28, 1994 |
| Release date: | Dec 28, 1994 |
| Booking location: | Polk County, FL |
| Surety: | 5000 |
| Statute: | 784.03 BATTERY-NON SERIOUS INJURY |
| Charge on arrest docket: | BATTERY(DV) |
| Charge number: | 1 |
| Cash: | 5000 |
