| Date of birth: | Dec 12, 1964 |
| Disposition of hold: | PTR |
| Booking number: | 2016-038493 |
| Booking date: | Oct 4, 2016 |
| Release date: | Oct 4, 2016 |
| Booking location: | Polk County, FL |
| Statute: | 948.06 Viol of Probation/Community Control-Adult |
| Charge on arrest docket: | >VOP FALSE POLICE REPORT |