| Date of birth: | Apr 28, 1951 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2004-011439 |
| Booking date: | May 17, 2004 |
| Release date: | May 18, 2004 |
| Booking location: | Polk County, FL |
| Statute: | 893.13(6A) DRUGS-POSSESS-CNTRL SUB WO PRESCRIPTION |
| Charge on arrest docket: | POSS OF METH |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | R512155128 |
| Bond exp: | SBN #R5-12155128 1000.00 |
| Bond amount: | $1,000 |
| Statute: | 893.147(1) NARCOTIC EQUIP-POSSESS-AND OR USE |
| Charge on arrest docket: | POSS/USE DRUG PARA |
| Charge number: | 2 |
| Bond type: | SBN |
| Bond number: | R512155130 |
| Bond exp: | SBN #A5-12155130 500.00 |
| Bond amount: | $500 |
| Statute: | ORDINANCE COUNTY OR MUNICIPAL ORDINANCE |
| Charge on arrest docket: | POSS ALCOHOL IN COUNTY PARK |
| Charge number: | 3 |
| Bond type: | SBN |
| Bond number: | R512155129 |
| Bond exp: | SBN #R5-12155129 250.00 |
| Bond amount: | $250 |
