| Date of birth: | Oct 12, 1958 |
| Booking number: | 2016-046524 |
| Booking date: | Dec 5, 2016 |
| Booking location: | Polk County, FL |
| Surety: | 5000.00 |
| Statute: | 901.31* FAILURE TO APPEAR (1st Degree Misdemeanor) |
| Charge on arrest docket: | >FTA PRET DV BATTERY T/S |
| Bond type: | CS |