| Date of birth: | Sep 8, 1946 |
| Hold: | no |
| Arresting agency: | LAKE WALES POLICE DEPT. |
| Booking number: | 2012-020508 |
| Booking date: | Aug 11, 2012 |
| Booking location: | Polk County, FL |
| Statute: | 322.34(2b) NONMOVING TRAFFIC VIOL-DRIVE WHILE LIC SUSP 2ND OF |
| Charge on arrest docket: | DWLSR 2ND CONV |
| Charge number: | 1 |