| Date of birth: | Aug 19, 1957 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2015-002033 |
| Booking date: | Jan 28, 2015 |
| Booking location: | Polk County, FL |
| Surety: | 1000 |
| Statute: | 843.01 RESIST OFFICER-OBSTRUCT WO VIOLENCE |
| Charge on arrest docket: | ROWV |
| Charge number: | 1 |
| Cash: | 1000 |