| Date of birth: | Mar 15, 1957 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2004-028217 |
| Booking date: | Dec 13, 2004 |
| Release date: | Dec 14, 2004 |
| Booking location: | Polk County, FL |
| Statute: | 893.13(7A5) DANGEROUS DRUGS-KEEP SHOP OR VEHICLE ETC FOR DRUGS |
| Charge on arrest docket: | MAINTAIN A SHOP/STORE FOR DRUG USE |
| Charge number: | 1 |
| Bond type: | CBN |
| Bond number: | 04-002588 |
| Bond exp: | CBN 04-002588 FOR 500.00 |
| Bond amount: | $500 |
