| Date of birth: | Jun 7, 1975 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2004-006174 |
| Booking date: | Mar 14, 2004 |
| Release date: | Mar 15, 2004 |
| 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 |
| Bond type: | CBN |
| Bond number: | 04-000571 |
| Bond exp: | CBN 04-571 FOR $250 |
| Bond amount: | $250 |