| Date of birth: | Sep 15, 1975 |
| Inmate location: | SOUTH JAIL BLDG 3 FORM H |
| Booking number: | 2016-027706 |
| Booking date: | Jul 19, 2016 |
| Booking location: | Polk County, FL |
| Surety: | 500.00 |
| Statute: | 901.36 (1) False ID Given to LEO |
| Charge on arrest docket: | >FALSE ID GIVEN TO LEO |
| Bond type: | CS |