| Date of birth: | Nov 26, 1961 |
| Hold: | no |
| Booking number: | 1993-013477 |
| Booking date: | Oct 4, 1993 |
| Release date: | Nov 15, 1993 |
| Booking location: | Polk County, FL |
| Statute: | 806.13 CRIMINAL MISCHIEF |
| Charge on arrest docket: | CM(FTA) |
| Charge number: | 1 |
| Statute: | 817.564 MFG/DISTR/SELL IMITATION DRUGS |
| Charge on arrest docket: | SELL FRAUD SUD AS CONT SUB (FTA) |
| Charge number: | 2 |
| Statute: | 790.01 CONCEALED WEAPON |
| Charge on arrest docket: | CCW (FTA) |
| Charge number: | 3 |
