| Date of birth: | Jul 16, 1960 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2004-019568 |
| Booking date: | Aug 25, 2004 |
| Release date: | Sep 24, 2004 |
| Booking location: | Polk County, FL |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2004-017318 |
| Booking date: | Jul 29, 2004 |
| Release date: | Jul 29, 2004 |
| Booking location: | Polk County, FL |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2001-017556 |
| Booking date: | Aug 10, 2001 |
| Release date: | Aug 10, 2001 |
| Booking location: | Polk County, FL |
| Statute: | 856.011 DISORDERLY INTOX-DISORDER INTOX PUBLIC PLACE CAUSE |
| Charge on arrest docket: | DISORDERLY CONDUCT (INTOXICATION) |
| Charge number: | 1 |
| Statute: | 877.03 DISORD CONDUCT |
| Charge on arrest docket: | DISORDERLY CONDUCT |
| Charge number: | 1 |
| Statute: | 901.36(1) FRAUD-IMPERSON-FALSE ID GIVEN TO LEO |
| Charge on arrest docket: | FALSE NAME TO LEO |
| Charge number: | 2 |
| Statute: | 877.03 DISORD CONDUCT |
| Charge on arrest docket: | DISORD CONDUCT PTR REVOKED A/O 082604 |
| Charge number: | 2 |
| Statute: | 901.36(1) FRAUD-IMPERSON-FALSE ID GIVEN TO LEO |
| Charge on arrest docket: | GIV FAL NAME TO LEO PTR REVK A/O 082604 |
| Charge number: | 3 |
| Statute: | 948.06 PROB VIOLATION-OR COMMTY CONT RE UNK/FEL/MISD/JUV |
| Charge on arrest docket: | VOP/LEAVE SCENE ACCIDENT W/PROP DMG |
| Charge number: | 1 |
| Bond type: | CBN |
| Bond number: | 01-001823 |
| Bond exp: | CBN#01-1823 FOR $500.00 |
| Bond amount: | $500 |
