| Date of birth: | Aug 20, 1957 |
| Hold for: | BRIDGE |
| Hold: | yes |
| Disposition of hold: | TRANS |
| Arresting agency: | BARTOW POLICE DEPT. |
| Booking number: | 2004-028187 |
| Booking date: | Dec 13, 2004 |
| Release date: | Jan 20, 2005 |
| Booking location: | Polk County, FL |
| Statute: | 948.06 PROB VIOLATION-OR COMMTY CONT RE UNK/FEL/MISD/JUV |
| Charge on arrest docket: | VOP DWLSR HTO |
| Charge number: | 1 |