| Date of birth: | May 7, 1977 |
| Registered felon date: | Sep 28, 2007 |
| Hold: | no |
| Arresting agency: | LAKE WALES POLICE DEPT. |
| Booking number: | 2004-022986 |
| Booking date: | Oct 10, 2004 |
| Release date: | Nov 2, 2004 |
| Booking location: | Polk County, FL |
| Statute: | 831.01 FORGERY OF-ALTER PUBLIC RECORD CERTIFICATE ETC |
| Charge on arrest docket: | FORGERY INFO FILED |
| Charge number: | 1 |
| Statute: | 831.02 PASS FORGED-ALTERED INSTRUMENT |
| Charge on arrest docket: | UTTERY FORGED INSTRUMENT INFO FILED |
| Charge number: | 2 |
| Statute: | 812.014(2C1) LARC-THEFT IS 300 OR MORE BUT LESS THAN 5000 DOLS |
| Charge on arrest docket: | GRAND THEFT OVER $300 INFO FILED |
| Charge number: | 3 |
