| Date of birth: | Sep 21, 1960 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2012-009100 |
| Booking date: | Apr 11, 2012 |
| Release date: | Apr 11, 2012 |
| Booking location: | Polk County, FL |
| Statute: | 322.34(2) NONMOVING TRAFFIC VIOL-KNOWINGLY DRIVE WHILE LIC S |
| Charge on arrest docket: | KDWLSR |
| Charge number: | 1 |
| Bond type: | CBN |
| Bond number: | 12-000965 |
| Bond exp: | CBN#12-000965 FOR 250.00 |
| Bond amount: | $250 |