| Date of birth: | May 13, 1947 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2012-027104 |
| Booking date: | Oct 26, 2012 |
| Release date: | Oct 26, 2012 |
| Booking location: | Polk County, FL |
| Statute: | 316.061 HIT AND RUN-LEAVE SCENE OF CRASH INVOLVE DAMAGE TO |
| Charge on arrest docket: | LEAVING SCENE MV CRASH W/PROPERTY DAMAGE |
| Charge number: | 1 |
| Bond type: | CBN |
| Bond number: | 12-002610 |
| Bond exp: | CBN # 12-002610 $ 250.00 |
| Bond amount: | $250 |