| Date of birth: | Apr 20, 1957 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2004-027687 |
| Booking date: | Dec 6, 2004 |
| Release date: | Dec 7, 2004 |
| Booking location: | Polk County, FL |
| Statute: | 812.014(3A) LARC-PETIT 1ST OFF |
| Charge on arrest docket: | PETIT/RETAIL THEFT INFO FILED |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | AA04396197 |
| Bond exp: | SBN AA04-396197 FOR 500 |
| Bond amount: | $500 |