| Date of birth: | Jun 28, 1939 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2013-014898 |
| Booking date: | Jul 4, 2013 |
| Booking location: | Polk County, FL |
| Surety: | 2000 |
| Statute: | 901.31 FAILURE TO APPEAR-WRITTEN PROMISE TO APPEAR |
| Charge on arrest docket: | FTA-KDWLSR |
| Charge number: | 1 |
| Cash: | 2000 |