| Date of birth: | May 23, 1977 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2012-002497 |
| Booking date: | Jan 29, 2012 |
| Booking location: | Polk County, FL |
| Surety: | 1000 |
| Statute: | 901.36(1) FRAUD-IMPERSON-FALSE ID GIVEN TO LEO |
| Charge on arrest docket: | PROVIDING FALSE NAME TO LEO |
| Charge number: | 1 |
| Cash: | 1000 |
| Statute: | 856.021 LOITERING-OR PROWLING |
| Charge on arrest docket: | LOITERING OR PROWLING |
| Charge number: | 2 |
| Statute: | 316.193(1) TRAFFIC OFFENSE-DUI ALCOHOL OR DRUGS |
| Charge on arrest docket: | DUI REVOKE PTR |
| Charge number: | 3 |
| Bond exp: | NO BOND |
| Statute: | 322.34(2) NONMOVING TRAFFIC VIOL-KNOWINGLY DRIVE WHILE LIC S |
| Charge on arrest docket: | KNOWINGLY DWLSR REVOKE PTR |
| Charge number: | 4 |
| Bond exp: | NO BOND |
| Statute: | 316.1939(1 ) TRAFFIC OFFENSE-REFUSE TO SUBMIT DUI TEST AFTER LI |
| Charge on arrest docket: | FAIL SUBMIT TO BREATHALYZER REVOKE PTR |
| Charge number: | 5 |
