| Date of birth: | Nov 24, 1966 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2004-005465 |
| Booking date: | Mar 6, 2004 |
| Release date: | May 30, 2004 |
| Booking location: | Polk County, FL |
| Statute: | 827.04(1) CONTRIB DELINQ MINOR-OR DEPENDENCY OF |
| Charge on arrest docket: | CONTRIB DELINQUENCY |
| Charge number: | 1 |
| Statute: | 843.02 RESIST OFFICER-OBSTRUCT WO VIOLENCE |
| Charge on arrest docket: | ROWOV |
| Charge number: | 2 |