| Date of birth: | May 13, 1959 |
| Hold: | no |
| Arresting agency: | FLORIDA HIGHWAY PATROL |
| Booking number: | 2004-016755 |
| Booking date: | Jul 22, 2004 |
| Release date: | Jul 22, 2004 |
| Booking location: | Polk County, FL |
| Statute: | 316.193(2A) TRAFFIC OFFENSE-DUI ALCOHOL OR DRUGS 1ST OFF |
| Charge on arrest docket: | DUI |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | AA04378112 |
| Bond exp: | SBN AA04378112 FOR $500 |
| Bond amount: | $500 |