| Date of birth: | Dec 6, 1968 |
| Hold: | no |
| Booking number: | 1996-016136 |
| Booking date: | Sep 22, 1996 |
| Release date: | Sep 22, 1996 |
| Booking location: | Polk County, FL |
| Surety: | 500 |
| Statute: | 877.03 DISORD CONDUCT/BREACH OF THE PEACE |
| Charge on arrest docket: | DIS COND |
| Charge number: | 1 |
| Cash: | 150 |
| Bond type: | CBN |
| Bond number: | 00013397 |
| Bond amount: | $150 |