| Date of birth: | Sep 5, 1957 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2013-022183 |
| Booking date: | Oct 6, 2013 |
| Release date: | Oct 6, 2013 |
| Booking location: | Polk County, FL |
| Statute: | 499.03(1) DRUGS-HEALTH OR SAFETY-POSS HARMFUL NEW LEGEND DRU |
| Charge on arrest docket: | POSS HARMFUL NEW LEGEND DRUG W/O RX |
| Charge number: | 1 |