| Date of birth: | Dec 26, 1938 |
| Hold: | no |
| Booking number: | 1993-016256 |
| Booking date: | Dec 2, 1993 |
| Release date: | Dec 3, 1993 |
| Booking location: | Polk County, FL |
| Statute: | 831.01 FORGERY |
| Charge on arrest docket: | FORGERY (SERVICE UNKNOWN VOP HEAR) |
| Charge number: | 1 |
| Statute: | 831.02 UTTER FORGED INSTRUMENT |
| Charge on arrest docket: | UTT FORG INST (SERVICE UNKNOWN VOP HEAR) |
| Charge number: | 2 |
| Statute: | 812.014(2C1) GRAND THEFT - OTHER $300 TO 20,000 |
| Charge on arrest docket: | GT (SERVICE UNKNOWN VOP HEAR) |
| Charge number: | 3 |
