| Date of birth: | Feb 20, 1950 |
| Hold: | no |
| Booking number: | 1996-006985 |
| Booking date: | Apr 22, 1996 |
| Release date: | Apr 25, 1996 |
| Booking location: | Polk County, FL |
| Statute: | 316.193(3C1) DWI-DAMAGE TO PER/PROP |
| Charge on arrest docket: | W/PROP DMG DUI WEWR |
| Charge number: | 1 |
| Statute: | 316.193(3C1) DWI-DAMAGE TO PER/PROP |
| Charge on arrest docket: | W/PROP DMG DUI WEWR |
| Charge number: | 2 |
| Statute: | 322.34 OPER MTR VEH W/CANCELED/SUSP/REV/DL |
| Charge on arrest docket: | DWLSR WEWR |
| Charge number: | 3 |
