| Date of birth: | Jun 2, 1978 |
| Hold: | no |
| Booking number: | 1996-011156 |
| Booking date: | Jul 2, 1996 |
| Release date: | Jul 2, 1996 |
| Booking location: | Polk County, FL |
| Surety: | 500 |
| Statute: | 322.34 OPER MTR VEH W/CANCELED/SUSP/REV/DL |
| Charge on arrest docket: | DWLSR |
| Charge number: | 1 |
| Cash: | 150 |