| Date of birth: | Jan 23, 1951 |
| Hold: | no |
| Booking number: | 1996-015536 |
| Booking date: | Sep 12, 1996 |
| Release date: | Sep 12, 1996 |
| Booking location: | Polk County, FL |
| Surety: | 1000 |
| Statute: | 810.08 TRESPASS STRUCT/CONVEYANCE |
| Charge on arrest docket: | TRESPASS FTA STAR |
| Charge number: | 1 |
| Cash: | 250 |
| Bond type: | CBN |
| Bond number: | 00013286 |
| Bond amount: | $250 |
| Surety: | 1000 |
| Statute: | 741.31 VIOL INJUNCT FOR PROTECTION/ DOM VIOLENCE |
| Charge on arrest docket: | VIOL INJUNCT PROTECTION DV FTA STAR |
| Charge number: | 2 |
| Cash: | 250 |
| Bond type: | CBN |
| Bond number: | 00013286 |
| Bond amount: | $250 |
| Surety: | 500 |
| Statute: | 832.05 WORTHLESS CHECK-MAKE/UTTER/ISSUE |
| Charge on arrest docket: | W/C |
| Charge number: | 3 |
| Cash: | 150 |
| Bond type: | CBN |
| Bond number: | 00013287 |
| Bond amount: | $150 |
