| Date of birth: | Oct 20, 1947 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2004-006682 |
| Booking date: | Mar 20, 2004 |
| Release date: | Mar 20, 2004 |
| Booking location: | Polk County, FL |
| Statute: | 316.193(2A) TRAFFIC OFFENSE-DUI ALCOHOL OR DRUGS 1ST OFF |
| Charge on arrest docket: | DUI |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | AA04363232 |
| Bond exp: | SBN AA04-363232 FOR 500.00 |
| Bond amount: | $500 |