| Date of birth: | Dec 26, 1962 |
| Permanent location: | MAHANOY |
| Inmate number: | KW6169 |
| Current location: | MAHANOY |
| Complexion: | MEDIUM |
| Committing county: | LYCOMING |
| Citizen: | USA |
| Hold for: | HILLSBOROUGH CO |
| Hold: | no |
| Disposition of hold: | CBN |
| Arresting agency: | BARTOW POLICE DEPT. |
| Booking number: | 2004-023423 |
| Booking date: | Oct 15, 2004 |
| Release date: | Nov 16, 2004 |
| Booking location: | Polk County, FL |
| Booking location: | Lycoming County, PA |
| Statute: | 812.014(3A) LARC-PETIT 1ST OFF |
| Charge on arrest docket: | THEFT/RETAIL |
| Charge number: | 1 |
| Upgrade reduction: | WAOJ HILLSBOROUGH CO |
| Statute: | 901.31 FAILURE TO APPEAR-WRITTEN PROMISE TO APPEAR |
| Charge on arrest docket: | WAOJ HILLS CO FTA OPEN CONTAIN A/O111304 |
| Charge number: | 2 |
| Bond type: | CBN |
| Bond number: | 04-002353 |
| Bond exp: | CBN #04-002353 50.00 |
| Bond amount: | $50 |
