| Date of birth: | Jul 27, 1967 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2003-019650 |
| Booking date: | Sep 8, 2003 |
| Release date: | Sep 10, 2003 |
| Booking location: | Polk County, FL |
| Statute: | 827.06 WITHHOLD SUPPORT-NON SUPPORT OF CHILDREN OR SPOUSE |
| Purge number: | 5159 |
| Charge on arrest docket: | DRD |
| Charge number: | 1 |
| Bond exp: | PURGE #5159 FOR 200.00 |
| Bond amount: | $200 |