| Date of birth: | Jul 16, 1944 |
| Hold: | no |
| Arresting agency: | WINTER HAVEN POLICE DEPT. |
| Booking number: | 2004-014867 |
| Booking date: | Jun 29, 2004 |
| Release date: | Jun 29, 2004 |
| Booking location: | Polk County, FL |
| Statute: | 316.193(2A) TRAFFIC OFFENSE-DUI ALCOHOL OR DRUGS 1ST OFF |
| Charge on arrest docket: | DUI |
| Charge number: | 1 |
| Bond type: | CBN |
| Bond number: | 04-001373 |
| Bond exp: | CBN #04-001373 FOR $500.00 |
| Bond amount: | $500 |