| Date of birth: | Feb 2, 1948 |
| Hold: | no |
| Booking number: | 1995-017936 |
| Booking date: | Nov 3, 1995 |
| Release date: | Nov 4, 1995 |
| Booking location: | Polk County, FL |
| Surety: | 500 |
| Statute: | 316.193(1A) DRIVE UNDER INFL ALCOHOL/DRUGS |
| Charge on arrest docket: | DUI |
| Charge number: | 1 |
| Cash: | 515.5 |