| Date of birth: | Jul 25, 1940 |
| Hold: | no |
| Booking number: | 1999-007370 |
| Booking date: | Apr 9, 1999 |
| Release date: | May 2, 1999 |
| Booking location: | Polk County, FL |
| Statute: | 322.34 OPER MTR VEH W/CANCELED/SUSP/REV/DL |
| Charge on arrest docket: | DWLSR |
| Charge number: | 1 |