| Date of birth: | Dec 18, 1962 |
| Hold: | no |
| Arresting agency: | WINTER HAVEN POLICE DEPT. |
| Booking number: | 2004-024577 |
| Booking date: | Oct 28, 2004 |
| Release date: | Oct 29, 2004 |
| Booking location: | Polk County, FL |
| Statute: | 812.014(2C1) LARC-THEFT IS 300 OR MORE BUT LESS THAN 5000 DOLS |
| Charge on arrest docket: | GRAND THEFT (RETAIL) |
| Charge number: | 1 |