| Date of birth: | Nov 9, 1964 |
| Hold for: | PENNSYLVANIA |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2004-023671 |
| Booking date: | Oct 19, 2004 |
| Release date: | Oct 26, 2004 |
| Booking location: | Polk County, FL |
| Statute: | 941.13 OUT-OF-STATE-FUG-REF-FUGITIVE WARRANT OF EXTRADITI |
| Charge on arrest docket: | PAROLE VIOLATION (PENNSYLVANIA) |
| Charge number: | 1 |