| Date of birth: | Nov 17, 1949 |
| Hold: | no |
| Booking number: | 1993-013718 |
| Booking date: | Oct 9, 1993 |
| Release date: | Oct 10, 1993 |
| Booking location: | Polk County, FL |
| Statute: | 812.014(2D) PETIT THEFT - OTHER........ |
| Charge on arrest docket: | PETIT THEFT |
| Charge number: | 1 |