| Date of birth: | Apr 6, 1980 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2012-025943 |
| Booking date: | Oct 13, 2012 |
| Booking location: | Polk County, FL |
| Statute: | 322.34(2) MOVING TRAFFIC VIOL-KNOWINGLY DRIVE WHILE LIC SUSP |
| Charge on arrest docket: | KDWLSR |
| Charge number: | 1 |