| Date of birth: | Feb 11, 1959 |
| Hold: | no |
| Arresting agency: | HAINES CITY POLICE DEPT. |
| Booking number: | 2012-030338 |
| Booking date: | Dec 4, 2012 |
| Release date: | Dec 4, 2012 |
| Booking location: | Polk County, FL |
| Statute: | 831.02 PASS FORGED-ALTERED INSTRUMENT |
| Charge on arrest docket: | FORGERY |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | AA12018229 |
| Bond exp: | SBN# AA12-018229 1000.00 |
| Bond amount: | $1,000 |
| Statute: | 831.02 FRAUD-UTTER FALSE INSTRUMENT |
| Charge on arrest docket: | UTTER FORGED INST |
| Charge number: | 2 |
| Bond type: | SBN |
| Bond number: | AA12018230 |
| Bond exp: | SBN# AA12-018230 1000.00 |
| Bond amount: | $1,000 |
| Statute: | 812.014(2E) LARC-PETIT THEFT 1ST DEGREE 100 LESS 300 DOLS |
| Charge on arrest docket: | PETIT THEFT |
| Charge number: | 3 |
| Bond type: | SBN |
| Bond number: | AA12018231 |
| Bond exp: | SBN# AA12-018231 500.00 |
| Bond amount: | $500 |