| Date of birth: | Oct 24, 1959 |
| Hold for: | HILLS |
| Hold: | yes |
| Disposition of hold: | TRANS HILLS CO |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2004-021659 |
| Booking date: | Sep 23, 2004 |
| Release date: | Nov 12, 2004 |
| Booking location: | Polk County, FL |
| Statute: | 948.06 PROB VIOLATION-OR COMMTY CONT RE UNK/FEL/MISD/JUV |
| Charge on arrest docket: | VOP USE OR POSS DRUG PARA |
| Charge number: | 1 |