| Date of birth: | Jan 11, 1962 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2012-032109 |
| Booking date: | Dec 27, 2012 |
| Release date: | Dec 27, 2012 |
| Booking location: | Polk County, FL |
| Statute: | 562.11(1A) LIQUOR-SELL GIVE SERVE UNDER 21 YOA |
| Charge on arrest docket: | SALE OF ALCOHOLIC BEVER TO PERS UNDER21 |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | AF12008453 |
| Bond exp: | SBN# AF12-008453 $250.00 |
| Bond amount: | $250 |
