| Date of birth: | Aug 1, 1943 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2000-021541 |
| Booking date: | Oct 19, 2000 |
| Release date: | Oct 27, 2000 |
| Booking location: | Polk County, FL |
| Statute: | 893.13(7A9) FRAUD-OBTAIN CONTROLLED SUBSTANCE BY |
| Charge on arrest docket: | VOP ATTEMPT TO OBTAIN CONT SUBSTANCE |
| Charge number: | 1 |