| Date of birth: | Jan 13, 1957 |
| Disposition of hold: | BAIL |
| Booking number: | 2015-031980 |
| Booking date: | Nov 13, 2015 |
| Release date: | Nov 14, 2015 |
| Booking location: | Polk County, FL |
| Statute: | 817.2341(1). False Statement Filed with Insurance Off |
| Charge on arrest docket: | >FRADULENT INSURANCE CLAIM |
| Cash: | 1000.00 |
| Bond type: | CB |
| Bond: | B006244 |
| Surety: | 1000.00 |
| Statute: | 817.2341(1). False Statement Filed with Insurance Off |
| Charge on arrest docket: | >FRADULENT INSURANCE CLAIM |
| Bond type: | CS |
| Bond: | B006245 |
