| Date of birth: | Aug 17, 1946 |
| Hold: | no |
| Arresting agency: | BARTOW POLICE DEPT. |
| Booking number: | 2004-010096 |
| Booking date: | May 1, 2004 |
| Release date: | May 2, 2004 |
| Booking location: | Polk County, FL |
| Statute: | 843.02 RESIST OFFICER-OBSTRUCT WO VIOLENCE |
| Charge on arrest docket: | RESISTING OFFICER W/OUT FORCE |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | AA04369351 |
| Bond exp: | SBN#AA04-369351 $500 |
| Bond amount: | $500 |