| Date of birth: | May 23, 1981 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2002-019508 |
| Booking date: | Sep 8, 2002 |
| Release date: | Oct 10, 2002 |
| Booking location: | Polk County, FL |
| Statute: | 901.36(1) FRAUD-IMPERSON-FALSE ID GIVEN TO LEO |
| Charge on arrest docket: | FALSE NAME TO LEO |
| Charge number: | 1 |
| Statute: | 843.02 RESIST OFFICER-OBSTRUCT WO VIOLENCE |
| Charge on arrest docket: | ROWOV |
| Charge number: | 2 |
| Statute: | 810.08(2B) TRESPASSING-OCCUPIED STRUCTURE OR CONVEYANCE |
| Charge on arrest docket: | TRESPASSING ORD REV PTR A/O 090902 |
| Charge number: | 3 |