| Date of birth: | Jun 3, 1936 |
| Hold: | no |
| Arresting agency: | LAKELAND POLICE DEPT. |
| Booking number: | 2004-028404 |
| Booking date: | Dec 16, 2004 |
| Release date: | Jan 10, 2005 |
| Booking location: | Polk County, FL |
| Statute: | 316.193(1) TRAFFIC OFFENSE-DUI ALCOHOL OR DRUGS 1ST OFF |
| Charge on arrest docket: | DUI |
| Charge number: | 1 |