| Date of birth: | May 21, 1961 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2009-001154 |
| Booking date: | Jan 15, 2009 |
| Release date: | Feb 10, 2009 |
| Booking location: | Polk County, FL |
| Statute: | 901.31 FAILURE TO APPEAR-WRITTEN PROMISE TO APPEAR |
| Charge on arrest docket: | FTA DOMESTIC BATTERY DOCK |
| Charge number: | 1 |