| Date of birth: | Jun 23, 1962 |
| Hold: | no |
| Arresting agency: | WINTER HAVEN POLICE DEPT. |
| Booking number: | 2012-013696 |
| Booking date: | May 29, 2012 |
| Release date: | May 31, 2012 |
| Booking location: | Polk County, FL |
| Statute: | 322.34(2A) NONMOVING TRAFFIC VIOL-DRIVE WHILE LIC SUSP 1ST OF |
| Charge on arrest docket: | DWLSR |
| Charge number: | 1 |