| Date of birth: | Apr 16, 1954 |
| Inmate location: | SOUTH JAIL BLDG 7 DORM O |
| Booking number: | 2016-001708 |
| Booking date: | Jan 13, 2016 |
| Booking location: | Polk County, FL |
| Surety: | 1000.00 |
| Statute: | 775.21(10)(G)4 Provide False Info to LE About Sex Pred |
| Charge on arrest docket: | >PROVIDE FALSE INFO LEO ABOUT SEX PRE |
| Bond type: | CS |