| Date of birth: | Jan 21, 1957 |
| Hold: | no |
| Dna: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2004-006089 |
| Booking date: | Mar 13, 2004 |
| Release date: | Mar 13, 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: | CBN |
| Bond number: | 04-000560 |
| Bond exp: | CBN #04-000560 FOR $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: | CBN |
| Bond number: | 04-000560 |
| Bond exp: | CBN #04-000560 FOR $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: | CBN |
| Bond number: | 04-000560 |
| Bond exp: | CBN #04-00560 FOR $250.00 |
| Bond amount: | $250 |
