| Date of birth: | Oct 16, 1959 |
| Inmate location: | SOUTH JAIL BLDG 4 DORM I |
| Booking number: | 2017-009937 |
| Booking date: | Mar 12, 2017 |
| Booking location: | Polk County, FL |
| Surety: | 1000.00 |
| Statute: | 837.05(1)(B)(1)(B). Knowingly Give False Info Written/Recored |
| Charge on arrest docket: | >KNOWIN GIVE FAL INFO WRITTEN/RECOR |
| Bond type: | CS |