| Date of birth: | Jun 15, 1984 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2004-018674 |
| Booking date: | Aug 15, 2004 |
| Release date: | Aug 15, 2004 |
| Booking location: | Polk County, FL |
| Statute: | 562.111 LIQUOR-POSSESS-BY PERSON UNDER 21 YOA 1ST OFF |
| Charge on arrest docket: | POSS ALCOHOL BY PERSON UNDER 21 YRS |
| Charge number: | 1 |