| Date of birth: | Sep 12, 1956 |
| Hold: | no |
| Arresting agency: | LAKELAND POLICE DEPT. |
| Booking number: | 2004-011900 |
| Booking date: | May 23, 2004 |
| Release date: | May 26, 2004 |
| Booking location: | Polk County, FL |
| Statute: | 322.34(5) NONMOVING TRAFFIC VIOL-DRIVE WHILE LIC SUSP HABITU |
| Charge on arrest docket: | D W L S R/HTO |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | AA04368223 |
| Bond exp: | SBN AA04-368223 FOR $1000.00 |
| Bond amount: | $1,000 |
