| Date of birth: | May 24, 1948 |
| Hold: | no |
| Arresting agency: | LAKELAND POLICE DEPT. |
| Booking number: | 2004-006815 |
| Booking date: | Mar 21, 2004 |
| Release date: | Mar 22, 2004 |
| Booking location: | Polk County, FL |
| Statute: | 316.193(3C1) TRAFFIC OFFENSE-DUI AND DAMAGE PROPERTY |
| Charge on arrest docket: | D U I W/PROP DAMAGE |
| Charge number: | 1 |
| Bond type: | CBN |
| Bond number: | 04-000650 |
| Bond exp: | CBN #04-650 FOR $500.00 |
| Bond amount: | $500 |
