| Date of birth: | Feb 22, 1944 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2004-024968 |
| Booking date: | Nov 2, 2004 |
| Release date: | Nov 2, 2004 |
| Booking location: | Polk County, FL |
| Statute: | 812.014(2e) LARC-PETIT 1ST DEGREE PROPERTY 100 TO UND 300 DOLS |
| Charge on arrest docket: | PETIT THEFT FTA |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | R312256918 |
| Bond exp: | SBN R3-12256918 FOR 3000.00 |
| Bond amount: | $3,000 |
