| Date of birth: | May 10, 1954 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2010-016868 |
| Booking date: | Jul 18, 2010 |
| Release date: | Jul 18, 2010 |
| Booking location: | Polk County, FL |
| Statute: | 843.025 OBSTRUCT POLICE-DEPRIVE OF MEANS PROTECTION OR COM |
| Charge on arrest docket: | TAMPERING WITH VICTIM-DEPRIVE USE OF 911 |
| Charge number: | 1 |