| Date of birth: | Apr 6, 1941 |
| Disposition of hold: | PTR |
| Booking number: | 2017-002189 |
| Booking date: | Jan 17, 2017 |
| Release date: | Jan 18, 2017 |
| Booking location: | Polk County, FL |
| Statute: | 316.061 Leave Scene of Crash Involve Prop Damage |
| Charge on arrest docket: | >LEAVE SCENE CRASH INVOLVE PROP DMG |