| Date of birth: | Jul 4, 1953 |
| Hold: | no |
| Booking number: | 1996-008698 |
| Booking date: | May 18, 1996 |
| Release date: | May 18, 1996 |
| Booking location: | Polk County, FL |
| Surety: | 500 |
| Statute: | 812.014(2D) PETIT THEFT - OTHER........ |
| Charge on arrest docket: | P/T |
| Charge number: | 1 |
| Cash: | 150 |