| Date of birth: | May 11, 1952 |
| Hold: | no |
| Arresting agency: | WINTER HAVEN POLICE DEPT. |
| Booking number: | 2004-007485 |
| Booking date: | Mar 30, 2004 |
| Release date: | Apr 27, 2004 |
| Booking location: | Polk County, FL |
| Statute: | ORDINANCE COUNTY OR MUNICIPAL ORDINANCE |
| Charge on arrest docket: | PUBLIC CONSUMPTION |
| Charge number: | 1 |
| Statute: | 831.09 PASS FORGED-ALTER BANK BILL NOTE CHECK DRAFT |
| Charge on arrest docket: | UTTERIG FORGED BILLS |
| Charge number: | 2 |