| Date of birth: | Oct 12, 1955 |
| Hold: | no |
| Booking number: | 1996-011647 |
| Booking date: | Jul 10, 1996 |
| Release date: | Jul 11, 1996 |
| Booking location: | Polk County, FL |
| Statute: | 827.06 NON-SUPPORT |
| Charge on arrest docket: | DRD-NON SUPPORT |
| Charge number: | 1 |
| Bond exp: | NO BOND |