| Date of birth: | Sep 6, 1941 |
| Hold: | no |
| Booking number: | 2004-012182 |
| Booking date: | May 26, 2004 |
| Release date: | Mar 23, 2005 |
| Booking location: | Polk County, FL |
| Statute: | 316.193(2A) TRAFFIC OFFENSE-DUI ALCOHOL OR DRUGS 2ND OFF |
| Charge on arrest docket: | DUI |
| Charge number: | 1 |
| Statute: | 316.1939(1E) TRAFFIC OFFENSE-REFUSE TO SUBMIT TO DUI TEST |
| Charge on arrest docket: | FAIL TO SUBMIT BREATHALYZER A/O 06/02/04 |
| Charge number: | 2 |
