| Date of birth: | May 27, 1949 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2012-031420 |
| Booking date: | Dec 17, 2012 |
| Release date: | Dec 17, 2012 |
| Booking location: | Polk County, FL |
| Statute: | 901.31 FAILURE TO APPEAR-WRITTEN PROMISE TO APPEAR |
| Charge on arrest docket: | FTA DOCK- KDWLSR (1ST CONVICTION) |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | BOND EXP. |
| Bond exp: | SBN# AA12-032013 FOR$250.00 |
| Bond amount: | $250 |