| Date of birth: | Jan 16, 1979 |
| Hold: | no |
| Arresting agency: | FLORIDA HIGHWAY PATROL |
| Booking number: | 2012-025941 |
| Booking date: | Oct 13, 2012 |
| Release date: | Oct 13, 2012 |
| Booking location: | Polk County, FL |
| Statute: | 322.34(2A) MOVING TRAFFIC VIOL-DRIVE WHILE LIC SUSP 1ST OFF |
| Charge on arrest docket: | DWLSR |
| Charge number: | 1 |
| Bond type: | CBN |
| Bond number: | 12-002537 |
| Bond exp: | CBN#12-002537 $250.00 |
| Bond amount: | $250 |