| Date of birth: | Mar 18, 1946 |
| Hold: | no |
| Booking number: | 1993-013821 |
| Booking date: | Oct 12, 1993 |
| Release date: | Nov 30, 1993 |
| Booking location: | Polk County, FL |
| Statute: | 812.014(2D) PETIT THEFT - OTHER........ |
| Charge on arrest docket: | P/RT |
| Charge number: | 1 |
| Bond exp: | NO BOND |