| Date of birth: | Nov 17, 1942 |
| Hold: | no |
| Booking number: | 1996-016693 |
| Booking date: | Oct 1, 1996 |
| Release date: | Oct 1, 1996 |
| Booking location: | Polk County, FL |
| Statute: | 316.193(1B) DRIVE W/ UNLAW BLOOD ALCOHOL |
| Charge on arrest docket: | DUI |
| Charge number: | 1 |
| Statute: | 322.34 OPER MTR VEH W/CANCELED/SUSP/REV/DL |
| Charge on arrest docket: | NVDL |
| Charge number: | 2 |
| Statute: | 843.02 RESIST/OBST- OFCR W/O VIOLENCE |
| Charge on arrest docket: | RAWOV |
| Charge number: | 3 |
