| Date of birth: | Sep 28, 1973 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2004-019789 |
| Booking date: | Aug 28, 2004 |
| Release date: | Aug 29, 2004 |
| Booking location: | Polk County, FL |
| Statute: | 837.05(1) MAKING FALSE REPORT-KNOWINGLY GIVE FALSE INFO TO L |
| Charge on arrest docket: | FALSE REPORT TO LAW ENFORCEMENT |
| Charge number: | 1 |