| Date of birth: | Nov 26, 1948 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2003-000844 |
| Booking date: | Jan 13, 2003 |
| Release date: | Jan 13, 2003 |
| Booking location: | Polk County, FL |
| Statute: | 787.03 KIDNAP ADULT-INCOMPETENT PERSON INTERFERE W CUSTOD |
| Charge on arrest docket: | INTERFERENCE W/CHILD CUSTODY |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | R511818549 |
| Bond exp: | SBN R5-11818549 FOR 1000.00 |
| Bond amount: | $1,000 |