| Date of birth: | Mar 3, 1953 |
| Booking number: | 2017-012843 |
| Booking date: | Apr 2, 2017 |
| Booking location: | Polk County, FL |
| Statute: | 316.193(1).. DUI Alchohol or Drugs |
| Charge on arrest docket: | >DUI Alchohol or Drug |
| Statute: | 316.1939(1). Refuse to Submit DUI Test after Lic Susp |
| Charge on arrest docket: | >Refuse to Submit DUI |