| Date of birth: | Apr 30, 1952 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2003-017627 |
| Booking date: | Aug 14, 2003 |
| Release date: | Aug 14, 2003 |
| Booking location: | Polk County, FL |
| Statute: | 812.014(2C1) LARC-THEFT IS 300 OR MORE BUT LESS THAN 5000 DOLS |
| Charge on arrest docket: | FELONY PETIT THEFT INFO FILED |
| Charge number: | 1 |
| Statute: | 812.015(6) RESIST OFFICER-IN RECOVERY OF STOLEN PROPERTY |
| Charge on arrest docket: | RESISTING A MERCHANT INFO FILED |
| Charge number: | 2 |
| Statute: | 831.01 FORGERY OF-ALTER PUBLIC RECORD CERTIFICATE ETC |
| Charge on arrest docket: | FORGERY INFO FILED |
| Charge number: | 3 |
| Statute: | 831.02 FRAUD-UTTER FALSE INSTRUMENT |
| Charge on arrest docket: | UTTER FORGED INSTRUMENT INFO FILED |
| Charge number: | 4 |
| Statute: | 831.01 FORGERY OF-ALTER PUBLIC RECORD CERTIFICATE ETC |
| Charge on arrest docket: | FORGERY INFO FILED |
| Charge number: | 5 |
| Statute: | 831.02 FRAUD-UTTER FALSE INSTRUMENT |
| Charge on arrest docket: | UTTER FORGED INSTRUMENT INFO FILED |
| Charge number: | 6 |
| Statute: | 901.36(1) FRAUD-IMPERSON-FALSE ID GIVEN TO LEO |
| Charge on arrest docket: | GIVE FALSE NAME/ID TO LEO INFO FILED |
| Charge number: | 7 |
| Statute: | 843.02 RESIST OFFICER-OBSTRUCT WO VIOLENCE |
| Charge on arrest docket: | ROWOV INFO FILED |
| Charge number: | 8 |
