| Date of birth: | Oct 9, 1966 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2012-018501 |
| Booking date: | Jul 20, 2012 |
| Booking location: | Polk County, FL |
| Statute: | 943.0435(9A) SEX OFFENDER VIOLATION-FAIL TO COMPLY WITH REGISTR |
| Charge on arrest docket: | FAIL TO REGISTER AS SEX OFFENDED REMANDE |
| Charge number: | 1 |