| Date of birth: | Nov 27, 1956 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2012-018094 |
| Booking date: | Jul 15, 2012 |
| Release date: | Jul 21, 2012 |
| Booking location: | Polk County, FL |
| Statute: | 856.011 DISORDERLY INTOX-DISORDER INTOX PUBLIC PLACE CAUSE |
| Charge on arrest docket: | DISORDERLY INTOXICATION |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | PC20099056 |
| Bond exp: | SBN #PC2-00990564 FOR $250.00 |
| Bond amount: | $250 |