| Date of birth: | Apr 24, 1981 |
| Hold: | no |
| Booking number: | 2004-011995 |
| Booking date: | May 24, 2004 |
| Release date: | Oct 3, 2004 |
| Booking location: | Polk County, FL |
| Statute: | 322.34(2A) NONMOVING TRAFFIC VIOL-DRIVE WHILE LIC SUSP 1ST OF |
| Charge on arrest docket: | DWLSR |
| Charge number: | 1 |