| Date of birth: | Jun 24, 1966 |
| Hold: | no |
| Dna: | ? |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2015-006012 |
| Booking date: | Mar 26, 2015 |
| Release date: | Mar 26, 2015 |
| Booking location: | Polk County, FL |
| Statute: | 837.06 FRAUD-FALSE STATEMENT-OFFICIAL STATEMENT |
| Charge on arrest docket: | >KNOWINGLY MAKE FALSE OFFICIAL STATEMENT |
| Bond type: | SBN |
| Bond exp: | SBN #PC7-01169277 250.00 |
| Bond amount: | $250 |
| Bond: | 7-01169277 |