| Date of birth: | Jan 24, 1963 |
| Hold: | no |
| Arresting agency: | LAKE WALES POLICE DEPT. |
| Booking number: | 2004-011358 |
| Booking date: | May 16, 2004 |
| Release date: | Jun 3, 2004 |
| Booking location: | Polk County, FL |
| Statute: | 322.03(1) NONMOVING TRAFFIC VIOL-OPERATE MOTOR VEHICLE WO VA |
| Charge on arrest docket: | NO VALID DL FTA DISP |
| Charge number: | 1 |