| Date of birth: | Apr 3, 1957 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2012-011419 |
| Booking date: | May 5, 2012 |
| Release date: | May 14, 2012 |
| Booking location: | Polk County, FL |
| Statute: | 322.36 NONMOVING TRAFFIC VIOL-PERMIT UNAUTHORIZED PERSON |
| Charge on arrest docket: | PERMIT UNATH OPERATOR TO DRIVE |
| Charge number: | 1 |