| Date of birth: | Jul 8, 1953 |
| Hold: | no |
| Arresting agency: | FLORIDA HIGHWAY PATROL |
| Booking number: | 2004-026872 |
| Booking date: | Nov 26, 2004 |
| Release date: | Nov 26, 2004 |
| Booking location: | Polk County, FL |
| Statute: | 316.193(3C1) TRAFFIC OFFENSE-DUI AND DAMAGE PROPERTY |
| Charge on arrest docket: | DUI W/PROP DAMAGE($8,000) |
| Charge number: | 1 |
| Bond type: | CBN |
| Bond number: | 04-002434 |
| Bond exp: | CBN #04-002434 500.00 |
| Bond amount: | $500 |