| Date of birth: | Nov 2, 1960 |
| Hold: | no |
| Arresting agency: | LAKELAND POLICE DEPT. |
| Booking number: | 2004-019579 |
| Booking date: | Aug 26, 2004 |
| Release date: | Oct 3, 2004 |
| Booking location: | Polk County, FL |
| Statute: | 948.06 PROB VIOLATION-OR COMMTY CONT RE UNK/FEL/MISD/JUV |
| Charge on arrest docket: | VOP PETIT RETAIL THEFT |
| Charge number: | 1 |
| Statute: | 843.02 RESIST OFFICER-OBSTRUCT WO VIOLENCE |
| Charge on arrest docket: | ROWOV |
| Charge number: | 2 |
| Statute: | 877.03 DISORD CONDUCT |
| Charge on arrest docket: | DISORDERLY CONDUCT |
| Charge number: | 3 |
| Statute: | 948.06 PROB VIOLATION-OR COMMTY CONT RE UNK/FEL/MISD/JUV |
| Charge on arrest docket: | VOP PETIT RETAIL THEFT A/O 0826 |
| Charge number: | 4 |