| Date of birth: | Aug 24, 1945 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2004-012801 |
| Booking date: | Jun 3, 2004 |
| Release date: | Jun 3, 2004 |
| Booking location: | Polk County, FL |
| Statute: | 832.05(2) FRAUD-INSUFF FUNDS CHECK-MAKE UTTER ISSUE UNDER 15 |
| Charge on arrest docket: | ISS/OBT PROP W/CH INFO FILED |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | AA04373595 |
| Bond exp: | SBN AA04373595 $500 |
| Bond amount: | $500 |
| Statute: | 832.05(2) FRAUD-INSUFF FUNDS CHECK-MAKE UTTER ISSUE UNDER 15 |
| Charge on arrest docket: | ISS/OBT PROP W/CHECK INFO FILED |
| Charge number: | 2 |
| Bond type: | SBN |
| Bond number: | AA04373594 |
| Bond exp: | SBN AA04373594 $500 |
| Bond amount: | $500 |