| Date of birth: | Sep 5, 1940 |
| Hold: | no |
| Arresting agency: | LAKE WALES POLICE DEPT. |
| Booking number: | 2003-027452 |
| Booking date: | Dec 20, 2003 |
| Release date: | Dec 20, 2003 |
| Booking location: | Polk County, FL |
| Statute: | 316.193(2A) TRAFFIC OFFENSE-DUI ALCOHOL OR DRUGS 1ST OFF |
| Charge on arrest docket: | D U I |
| Charge number: | 1 |