| Date of birth: | Jan 3, 1957 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2004-012573 |
| Booking date: | May 31, 2004 |
| Release date: | Jun 2, 2004 |
| Booking location: | Polk County, FL |
| Statute: | 316.193(2A) TRAFFIC OFFENSE-DUI ALCOHOL OR DRUGS 1ST OFF |
| Charge on arrest docket: | DUI |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | 04AA047419 |
| Bond exp: | SBN 2004AA047419 FOR 500.00 |
| Bond amount: | $500 |
| Statute: | 322.34(2A) NONMOVING TRAFFIC VIOL-DRIVE WHILE LIC SUSP 1ST OF |
| Charge on arrest docket: | DWLSR |
| Charge number: | 2 |
| Bond type: | SBN |
| Bond number: | 04AA047420 |
| Bond exp: | SBN 2004AA047420 FOR 500.00 |
| Bond amount: | $500 |
| Statute: | 316.1939(1E) TRAFFIC OFFENSE-REFUSE TO SUBMIT TO DUI TEST |
| Charge on arrest docket: | REFUSE TO SUBMIT TO BREATH TEST |
| Charge number: | 3 |
| Bond type: | SBN |
| Bond number: | 04AA047421 |
| Bond exp: | SBN 2004AA047421 FOR 500.00 |
| Bond amount: | $500 |
