| Date of birth: | Jul 20, 1956 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2003-015322 |
| Booking date: | Jul 16, 2003 |
| Release date: | Jul 18, 2003 |
| Booking location: | Polk County, FL |
| Statute: | 784.021(1A) AGGRAV ASSLT-W DEADLY WEAPON WITHOUT INTENT TO KIL |
| Charge on arrest docket: | AGGRAVATED ASSAULT DOMESTIC |
| Charge number: | 1 |
| Statute: | 784.021(1A) AGGRAV ASSLT-W DEADLY WEAPON WITHOUT INTENT TO KIL |
| Charge on arrest docket: | AGGRAVATED ASSAULT DOMESTIC |
| Charge number: | 2 |
