| Date of birth: | Oct 4, 1967 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2012-019422 |
| Booking date: | Jul 30, 2012 |
| Release date: | Jul 31, 2012 |
| Booking location: | Polk County, FL |
| Statute: | 893.13(7A8) FRAUD-CONCEAL INFO TO OBTAIN PRESCRIPTION |
| Charge on arrest docket: | WITHHOLD INFORM TO OBTAIN CONTRL SUBS |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | AA12988358 |
| Bond exp: | SBN AA12988358 FOR 1000.00 |
| Bond amount: | $1,000 |
| Statute: | 893.13(7A8) FRAUD-CONCEAL INFO TO OBTAIN PRESCRIPTION |
| Charge on arrest docket: | WITHHOLD INFORM TO OBTAIN CONTRL SUBS |
| Charge number: | 2 |
| Bond type: | SBN |
| Bond number: | AA12988359 |
| Bond exp: | SBN AA12988359 FOR 1000.00 |
| Bond amount: | $1,000 |
