| Date of birth: | Jul 16, 1965 |
| Hold: | no |
| Arresting agency: | LAKELAND POLICE DEPT. |
| Booking number: | 2004-023089 |
| Booking date: | Oct 11, 2004 |
| Release date: | Oct 12, 2004 |
| Booking location: | Polk County, FL |
| Statute: | 831.02 FRAUD-UTTER FALSE INSTRUMENT |
| Charge on arrest docket: | UTTER FORGED INSTRUMENT (CK) |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | 5600065559 |
| Bond exp: | SBN 560006555-9 FOR 1000.00 |
| Bond amount: | $1,000 |
