| Date of birth: | Apr 4, 1975 |
| Hold: | no |
| Arresting agency: | EAGLE LAKE POLICE DEPT. |
| Booking number: | 2004-027305 |
| Booking date: | Dec 2, 2004 |
| Release date: | Dec 2, 2004 |
| Booking location: | Polk County, FL |
| Statute: | 322.34(2B) NONMOVING TRAFFIC VIOL-DRIVE WHILE LIC SUSP 2ND OF |
| Charge on arrest docket: | DWLSR |
| Charge number: | 1 |
| Statute: | 322.32(1) PASS FORGED-DISPLAY CAUSE PERMIT DISPLAY ALTERED D |
| Charge on arrest docket: | DISPLAY A SUSPENDED DL |
| Charge number: | 2 |
