| Date of birth: | Oct 21, 1966 |
| Hold: | no |
| Arresting agency: | EAGLE LAKE POLICE DEPT. |
| Booking number: | 2003-024186 |
| Booking date: | Nov 6, 2003 |
| Release date: | Nov 6, 2003 |
| Booking location: | Polk County, FL |
| Statute: | 322.34(2A) NONMOVING TRAFFIC VIOL-DRIVE WHILE LIC SUSP 1ST OF |
| Charge on arrest docket: | D W L S R |
| Charge number: | 1 |
| Bond type: | CBN |
| Bond number: | 03-002233 |
| Bond exp: | CBN# 03-002233 250.00 |
| Bond amount: | $250 |