| Date of birth: | Sep 23, 1962 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2012-017071 |
| Booking date: | Jul 4, 2012 |
| Release date: | Jul 18, 2012 |
| Booking location: | Polk County, FL |
| Statute: | 948.06 PROB VIOLATION |
| Charge on arrest docket: | VOP TRESPASS STRUCTURE/CONV |
| Charge number: | 1 |