| Date of birth: | Apr 23, 1971 |
| Hold: | no |
| Booking number: | 1996-010395 |
| Booking date: | Jun 18, 1996 |
| Release date: | Jun 18, 1996 |
| Booking location: | Polk County, FL |
| Surety: | 500 |
| Statute: | 837.05 FALSE POLICE REPORT |
| Charge on arrest docket: | FALSE REPORTS TO L.E.O. |
| Charge number: | 1 |
| Cash: | 150 |