| Date of birth: | Aug 15, 1950 |
| Hold for: | ICE |
| Hold: | yes |
| Disposition of hold: | TRANS ICE |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2012-016142 |
| Booking date: | Jun 23, 2012 |
| Release date: | Jul 10, 2012 |
| Booking location: | Polk County, FL |
| Statute: | 901.36(1) FRAUD-IMPERSON-FALSE ID GIVEN TO LEO |
| Charge on arrest docket: | FALSE IDENTIFICATION TO LEO |
| Charge number: | 1 |