| Date of birth: | Jan 24, 1962 |
| Registered felon date: | Sep 15, 2009 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2012-019886 |
| Booking date: | Aug 4, 2012 |
| Release date: | Sep 19, 2012 |
| Booking location: | Polk County, FL |
| Statute: | 843.15(1B) FAILURE TO APPEAR |
| Charge on arrest docket: | FTA WEWR PETIT THEFT (PREV THEFT CONV) |
| Charge number: | 1 |