| Date of birth: | Feb 21, 1971 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2004-026048 |
| Booking date: | Nov 15, 2004 |
| Release date: | Nov 16, 2004 |
| Booking location: | Polk County, FL |
| Statute: | 843.01 RESIST OFFICER-WITH VIOLENCE |
| Charge on arrest docket: | RESIST W/VIOLENCE |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | BOND EXP |
| Bond exp: | SBN#AS5403013 FOR $1000.00 |
| Bond amount: | $1,000 |