| Date of birth: | Sep 18, 1958 |
| Hold for: | GEORGIA |
| Hold: | yes |
| Disposition of hold: | TRANS TO GEORGIA |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2004-028895 |
| Booking date: | Dec 23, 2004 |
| Release date: | Jan 7, 2005 |
| Booking location: | Polk County, FL |
| Statute: | 941.13 OUT-OF-STATE-FUG-REF-FUGITIVE WARRANT OF EXTRADITI |
| Charge on arrest docket: | FUGITIVE FROM JUSTICE (GEORGIA) |
| Charge number: | 1 |
