| Date of birth: | Oct 10, 1967 |
| Hold: | no |
| Booking number: | 2004-022466 |
| Booking date: | Oct 4, 2004 |
| Release date: | Oct 6, 2004 |
| Booking location: | Polk County, FL |
| Statute: | 893.13(6A) COCAINE-POSSESS-POSSESS COCAINE |
| Charge on arrest docket: | POSS CANNABIS |
| Charge number: | 1 |