| Date of birth: | Jan 19, 1978 |
| Disposition of hold: | BAIL |
| Booking number: | 2017-003438 |
| Booking date: | Jan 25, 2017 |
| Release date: | Jan 26, 2017 |
| Booking location: | Polk County, FL |
| Surety: | 250.00 |
| Statute: | 320.02(4), Fail to Notify of Address Change in 20 day |
| Charge on arrest docket: | >FAIL TO NOTIFY OF ADDRESS CHANGE |
| Bond type: | SB |
| Bond: | B038035 |