| Date of birth: | Nov 21, 1972 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2004-019252 |
| Booking date: | Aug 21, 2004 |
| Release date: | Aug 22, 2004 |
| 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: | SBN |
| Bond number: | AA04381236 |
| Bond exp: | SBN AA04-381236 FOR 500.00 |
| Bond amount: | $500 |
| Statute: | 901.36(1) FRAUD-IMPERSON-FALSE ID GIVEN TO LEO |
| Charge on arrest docket: | GIVE FALSE NAME TO LEO |
| Charge number: | 2 |
| Bond type: | SBN |
| Bond number: | AA04381237 |
| Bond exp: | SBN AA04-381237 FOR 500.00 |
| Bond amount: | $500 |
