| Date of birth: | Feb 10, 1949 |
| Hold: | no |
| Arresting agency: | LAKELAND POLICE DEPT. |
| Booking number: | 2004-024422 |
| Booking date: | Oct 27, 2004 |
| Release date: | Nov 30, 2004 |
| Booking location: | Polk County, FL |
| Statute: | 322.34(5) NONMOVING TRAFFIC VIOL-DRIVE WHILE LIC SUSP HABITU |
| Charge on arrest docket: | DWLSR HTO |
| Charge number: | 1 |