| Date of birth: | Nov 3, 1963 |
| Booking number: | 2015-027454 |
| Booking date: | Oct 9, 2015 |
| Booking location: | Polk County, FL |
| Surety: | 2000.00 |
| Statute: | 812.014(2)(E) Petit Theft 1st Degree $100 - $300 |
| Charge on arrest docket: | >Petit Theft 1st Degree $100 - $300 |
| Bond type: | CS |