| Date of birth: | Feb 21, 1961 |
| Hold: | no |
| Booking number: | 1996-016023 |
| Booking date: | Sep 20, 1996 |
| Release date: | Sep 20, 1996 |
| Booking location: | Polk County, FL |
| Statute: | 810.09 TRESPASS-OTHR THAN STRUCT/CONVEY |
| Charge on arrest docket: | T-PASS |
| Charge number: | 1 |
| Statute: | 877.03 DISORD CONDUCT/BREACH OF THE PEACE |
| Charge on arrest docket: | DISORDERLY CONDUCT |
| Charge number: | 2 |