| Date of birth: | May 24, 1982 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2012-019230 |
| Booking date: | Jul 28, 2012 |
| Release date: | Jul 28, 2012 |
| Booking location: | Polk County, FL |
| Statute: | 316.193(1) TRAFFIC OFFENSE-DUI ALCOHOL OR DRUGS |
| Charge on arrest docket: | DUI (REFUSED TO SUBMIT) |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | AA12996928 |
| Bond exp: | SBN AA12-996928 FOR $500.00 |
| Bond amount: | $500 |