| Date of birth: | Jan 1, 1956 |
| Hold: | no |
| Booking number: | 1996-014293 |
| Booking date: | Aug 23, 1996 |
| Release date: | Sep 4, 1996 |
| Booking location: | Polk County, FL |
| Statute: | 812.014(2D) PETIT THEFT - OTHER........ |
| Charge on arrest docket: | PET/RET THEFT FTA ARRG |
| Charge number: | 1 |
| Statute: | 843.02 RESIST/OBST- OFCR W/O VIOLENCE |
| Charge on arrest docket: | ROWOV |
| Charge number: | 2 |
