| Date of birth: | Sep 28, 1966 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2011-008815 |
| Booking date: | Apr 16, 2011 |
| Release date: | Apr 16, 2011 |
| Booking location: | Polk County, FL |
| Statute: | 893.13(7a9) FORGERY-OBTAIN CONTROLLED SUBSTANCE BY |
| Charge on arrest docket: | OBTAITT CONTROL SUBS BY FORGERY MISRE |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | 11AA043044 |
| Bond exp: | SBN# 2011-AA-043044 1000. |
| Bond amount: | $1,000 |