| Date of birth: | Mar 25, 1963 |
| Hold: | no |
| Booking number: | 1996-014447 |
| Booking date: | Aug 25, 1996 |
| Release date: | Aug 25, 1996 |
| Booking location: | Polk County, FL |
| Surety: | 500 |
| Statute: | 812.014(2D) PETIT THEFT - OTHER........ |
| Charge on arrest docket: | P/T |
| Charge number: | 1 |
| Cash: | 150 |
| Surety: | 500 |
| Statute: | 893.13(1) CONT SUBST-POSS/SELL/MFG/DEL |
| Charge on arrest docket: | POSS CANN U/20 GRAMS |
| Charge number: | 2 |
| Cash: | 150 |
| Surety: | 500 |
| Statute: | 320.261 ILLEGAL LIC PLATE ATTACHED |
| Charge on arrest docket: | ATT TAG NOT ASSIGNED |
| Charge number: | 3 |
| Cash: | 150 |
| Surety: | 500 |
| Statute: | 322.34 OPER MTR VEH W/CANCELED/SUSP/REV/DL |
| Charge on arrest docket: | DWLSR |
| Charge number: | 4 |
| Cash: | 150 |