| Date of birth: | Feb 2, 1950 |
| Hold: | no |
| Booking number: | 1996-012119 |
| Booking date: | Jul 18, 1996 |
| Release date: | Jul 18, 1996 |
| Booking location: | Polk County, FL |
| Surety: | 500 |
| Statute: | 316.193(1A) DRIVE UNDER INFL ALCOHOL/DRUGS |
| Charge on arrest docket: | DUI |
| Charge number: | 1 |
| Cash: | 515.5 |
| Surety: | 500 |
| Statute: | 893.13(1) CONT SUBST-POSS/SELL/MFG/DEL |
| Charge on arrest docket: | POSS CANN |
| Charge number: | 2 |
| Cash: | 150 |
| Surety: | 500 |
| Statute: | 893.147 POSS/USE/MFG/DEL/ADVER DRUG PARAPH |
| Charge on arrest docket: | POSS DRUG PARA |
| Charge number: | 3 |
| Cash: | 150 |