| Date of birth: | Oct 7, 1965 |
| Hold: | no |
| Arresting agency: | LAKE WALES POLICE DEPT. |
| Booking number: | 2012-025482 |
| Booking date: | Oct 8, 2012 |
| Booking location: | Polk County, FL |
| Surety: | 1000 |
| Statute: | 322.34(2) MOVING TRAFFIC VIOL-KNOWINGLY DRIVE WHILE LIC SUSP |
| Charge on arrest docket: | DWLSR |
| Charge number: | 1 |
| Cash: | 1000 |