| Date of birth: | Jul 29, 1960 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2004-023198 |
| Booking date: | Oct 13, 2004 |
| Release date: | Dec 22, 2004 |
| Booking location: | Polk County, FL |
| Statute: | 901.36(1) FRAUD-IMPERSON-FALSE ID GIVEN TO LEO |
| Charge on arrest docket: | FALSE NAME TO LEO A/O 101304 |
| Charge number: | 6 |
| Statute: | 901.36(2) PUBLIC ORDER CRIMES-USE OF FALSE ID ADVERSELY AFFE |
| Charge on arrest docket: | FALSE NAME TO LEO A/O 110304 |
| Charge number: | 8 |
| Statute: | 831.02 PASS FORGED-ALTERED INSTRUMENT |
| Charge on arrest docket: | UTTERING FORGED INST A/O 110304 |
| Charge number: | 9 |
| Statute: | 831.01 FORGERY OF-ALTER PUBLIC RECORD CERTIFICATE ETC |
| Charge on arrest docket: | FORGERY A/O 110304 |
| Charge number: | 10 |
| Statute: | 827.06 WITHHOLD SUPPORT-NON SUPPORT OF CHILDREN OR SPOUSE |
| Charge on arrest docket: | DRD A/O 101304 |
| Charge number: | 7 |
| Statute: | 893.13(5A) SYNTH NARCOTIC-SMUGGL-BRING SCHEDULE I II INTO STA |
| Charge on arrest docket: | POSS METHADONE |
| Charge number: | 1 |
| Statute: | 893.13(1A1) COCAINE-POSSESS-WITH INTENT TO SELL MFG DELIV ETC |
| Charge on arrest docket: | POSS COCAINE WITS |
| Charge number: | 2 |
| Statute: | 893.13(6B) MARIJUANA-POSSESS-NOT MORE THAN 20 GRAMS |
| Charge on arrest docket: | POSS CANNABIS |
| Charge number: | 3 |
| Statute: | 893.147(1) NARCOTIC EQUIP-POSSESS-AND OR USE |
| Charge on arrest docket: | POSS DRUG PARA |
| Charge number: | 4 |
| Statute: | 893.147(1) NARCOTIC EQUIP-POSSESS-AND OR USE |
| Charge on arrest docket: | POSS DRUG PARA |
| Charge number: | 5 |
| Bond exp: | BLANKET BOND W/CT 1 |
