| Date of birth: | Jun 30, 1954 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 1997-023021 |
| Booking date: | Dec 11, 1997 |
| Release date: | Dec 11, 1997 |
| Booking location: | Polk County, FL |
| Statute: | 831.02 UTTER FORGED INSTRUMENT |
| Charge on arrest docket: | UTTER FORGED INST DIRECT FILED |
| Charge number: | 2 |
| Surety: | 1000 |
| Statute: | 316.027 ACC INV DEATH/INJ-FAIL TO STOP |
| Charge on arrest docket: | LEAVE SCENE ACC W/INJURY |
| Charge number: | 1 |
| Cash: | 1000 |
| Bond type: | CBN |
| Bond number: | 97-001663 |
| Bond amount: | $1,000 |