| Date of birth: | Nov 6, 1957 |
| Hold: | no |
| Booking number: | 1993-014651 |
| Booking date: | Oct 28, 1993 |
| Release date: | Oct 29, 1993 |
| Booking location: | Polk County, FL |
| Statute: | 831.01 FORGERY |
| Charge on arrest docket: | FORGERY |
| Charge number: | 1 |
| Cash: | 250 |
| Bond type: | CBN |
| Bond number: | 1731800A |
| Statute: | 831.02 UTTER FORGED INSTRUMENT |
| Charge on arrest docket: | UTTERING FORGED INSTRUMENT |
| Charge number: | 2 |
| Cash: | 250 |
| Bond type: | CBN |
| Bond number: | 1731800A |
| Statute: | 812.014(2D) PETIT THEFT - OTHER........ |
| Charge on arrest docket: | PETIT THEFT |
| Charge number: | 3 |
| Cash: | 150 |
| Bond type: | CBN |
| Bond number: | 1731800A |
