| Date of birth: | Mar 19, 1955 |
| Hold: | no |
| Inmate location: | SOUTH COUNTY JAIL MEDICAL |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2012-030367 |
| Booking date: | Dec 4, 2012 |
| Booking location: | Polk County, FL |
| Statute: | 843.15(1B) FAILURE TO APPEAR |
| Charge on arrest docket: | FTA CULPABLE NEGLIGENCE |
| Charge number: | 1 |
| Statute: | ORDINANCE COUNTY OR MUNICIPAL ORDINANCE |
| Charge on arrest docket: | ALCOHLIC BEVERAGE IN PUBLIC DRINK IN PUB |
| Charge number: | 2 |