| Date of birth: | Jun 20, 1955 |
| Hold for: | UNITED ST/FBI |
| Hold: | yes |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2012-028480 |
| Booking date: | Nov 10, 2012 |
| Booking location: | Polk County, FL |
| Statute: | 941.13 OUT-OF-STATE-FUG |
| Charge on arrest docket: | FUG FROM JUSTICE/UNITED STATES FBI |
| Charge number: | 1 |
| Bond exp: | NO BOND |