| Date of birth: | Dec 2, 1944 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 1998-019159 |
| Booking date: | Sep 29, 1998 |
| Release date: | Sep 30, 1998 |
| Booking location: | Polk County, FL |
| Statute: | 784.03 BATTERY-SERIOUS INJURY |
| Charge on arrest docket: | BATTERY DOMESTIC VIOLENCE |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | X074008635 |
| Bond exp: | X07-4-00863528 1000.00 |
| Bond amount: | $1,000 |
