| Date of birth: | Jan 19, 1959 |
| Registered felon date: | Oct 23, 2009 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2004-024531 |
| Booking date: | Oct 28, 2004 |
| Release date: | Dec 6, 2004 |
| Booking location: | Polk County, FL |
| Statute: | 948.06 PROB VIOLATION-OR COMMTY CONT RE UNK/FEL/MISD/JUV |
| Charge on arrest docket: | VOP POSS OF METH |
| Charge number: | 1 |