| Date of birth: | Apr 2, 1953 |
| Hold: | no |
| Arresting agency: | WINTER HAVEN POLICE DEPT. |
| Booking number: | 2012-028153 |
| Booking date: | Nov 7, 2012 |
| Release date: | Nov 8, 2012 |
| Booking location: | Polk County, FL |
| Statute: | 562.11(1A) LIQUOR-SELL GIVE SERVE UNDER 21 YOA |
| Charge on arrest docket: | SALE OF ALCOHOLIC BEV PERS U/21 YOA |
| Charge number: | 1 |
| Bond type: | CBN |
| Bond number: | 12-002688 |
| Bond exp: | CBN# 12-002688 $250.00 |
| Bond amount: | $250 |