| Date of birth: | Oct 22, 1994 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2012-027442 |
| Booking date: | Oct 30, 2012 |
| Release date: | Oct 31, 2012 |
| Booking location: | Polk County, FL |
| Statute: | 837.06 FRAUD-FALSE STATEMENT-OFFICIAL STATEMENT |
| Charge on arrest docket: | FALSE STATEMENT OFFICIAL STATEMENT |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | PC20100824 |
| Bond exp: | SBN PC2-01008243 FOR $250.00 |
| Bond amount: | $250 |