| Date of birth: | May 18, 1959 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2013-018952 |
| Booking date: | Aug 25, 2013 |
| Booking location: | Polk County, FL |
| Surety: | 250 |
| Statute: | 856.011 DISORDERLY INTOX-DISORDER INTOX PUBLIC PLACE CAUSE |
| Charge on arrest docket: | DISORDERLY INTOXICATION-PUB PLACE |
| Charge number: | 1 |
| Cash: | 250 |