| Date of birth: | Jul 8, 1972 |
| Hold: | no |
| Booking number: | 1993-017139 |
| Booking date: | Dec 22, 1993 |
| Release date: | Dec 23, 1993 |
| Booking location: | Polk County, FL |
| Statute: | 817.564 MFG/DISTR/SELL IMITATION DRUGS |
| Charge on arrest docket: | POSS IMITAION CON SUB |
| Charge number: | 1 |