| Date of birth: | Aug 18, 1952 |
| Hold: | no |
| Booking number: | 1996-009662 |
| Booking date: | Jun 4, 1996 |
| Release date: | Jun 5, 1996 |
| Booking location: | Polk County, FL |
| Surety: | 1000 |
| Statute: | 812.014(2C1) GRAND THEFT - OTHER $300 TO 20,000 |
| Charge on arrest docket: | RETAIL GRAND THEFT |
| Charge number: | 1 |
| Cash: | 250 |
| Bond type: | CBN |
| Bond number: | 00012499 |
| Bond amount: | $250 |
