| Date of birth: | Sep 26, 1967 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2004-028447 |
| Booking date: | Dec 16, 2004 |
| Release date: | Dec 16, 2004 |
| 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 |
| Bond type: | SBN |
| Bond number: | AA04402903 |
| Bond exp: | SBN AA04-402903 FOR $1000.00 |
| Bond amount: | $1,000 |