| Date of birth: | Jul 26, 1964 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2012-026985 |
| Booking date: | Oct 24, 2012 |
| Release date: | Oct 25, 2012 |
| Booking location: | Polk County, FL |
| Statute: | 322.34(2) MOVING TRAFFIC VIOL-KNOWINGLY DRIVE WHILE LIC SUSP |
| Charge on arrest docket: | DWLSR W/K |
| Charge number: | 1 |
| Bond type: | CBN |
| Bond number: | 12-002604 |
| Bond exp: | CBN 12-002604 FOR $250.00 |
| Bond amount: | $250 |