| Date of birth: | Mar 2, 1939 |
| Hold: | no |
| Booking number: | 1996-014632 |
| Booking date: | Aug 28, 1996 |
| Release date: | Sep 10, 1996 |
| Booking location: | Polk County, FL |
| Statute: | 810.08 TRESPASS STRUCT/CONVEYANCE |
| Charge on arrest docket: | TRESPASS FTA PTC |
| Charge number: | 1 |
| Statute: | 843.02 RESIST/OBST- OFCR W/O VIOLENCE |
| Charge on arrest docket: | ROWOV FTA PTC |
| Charge number: | 2 |