| Date of birth: | Mar 13, 1961 |
| Hold: | no |
| Booking number: | 2004-010712 |
| Booking date: | May 8, 2004 |
| Release date: | May 23, 2004 |
| Booking location: | Polk County, FL |
| Statute: | 322.34(2A) NONMOVING TRAFFIC VIOL-DRIVE WHILE LIC SUSP 1ST OF |
| Charge on arrest docket: | KNOWINGLY DWLS/R W/PROP DAMAGE |
| Charge number: | 1 |