| Date of birth: | Nov 18, 1947 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2011-029869 |
| Booking date: | Dec 23, 2011 |
| Release date: | Dec 27, 2011 |
| Booking location: | Polk County, FL |
| Statute: | 322.34(2 ) NONMOVING TRAFFIC VIOL-KNOWINGLY DRIVE WHILE LIC S |
| Charge on arrest docket: | DWLSR |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | AA11943305 |
| Bond exp: | SBN #AA11-943305 1500.00 |
| Bond amount: | $1,500 |