| Date of birth: | Mar 3, 1928 |
| Hold: | no |
| Booking number: | 1996-016281 |
| Booking date: | Sep 24, 1996 |
| Release date: | Oct 13, 1996 |
| Booking location: | Polk County, FL |
| Statute: | 322.34 OPER MTR VEH W/CANCELED/SUSP/REV/DL |
| Charge on arrest docket: | DWLSR |
| Charge number: | 1 |
| Bond exp: | NO BOND |