| Date of birth: | Jun 12, 1959 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2010-009179 |
| Booking date: | Apr 20, 2010 |
| Release date: | Apr 21, 2010 |
| Booking location: | Polk County, FL |
| Statute: | 856.011 DISORDERLY INTOX-DISORDER INTOX PUBLIC PLACE CAUSE |
| Charge on arrest docket: | DISORDERLY INTOXICATION |
| Charge number: | 1 |