| Date of birth: | Apr 17, 1962 |
| Booking number: | 2016-044634 |
| Booking date: | Nov 19, 2016 |
| Booking location: | Polk County, FL |
| Surety: | 500.00 |
| Statute: | 810.09(2)(A). Trespass Prop other than Structure/Convey |
| Charge on arrest docket: | >Trespass Prop other than Structure/C |
| Bond type: | CS |