| Date of birth: | Jul 23, 1963 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2001-007923 |
| Booking date: | Apr 11, 2001 |
| Release date: | Apr 18, 2001 |
| Booking location: | Polk County, FL |
| Statute: | 901.36(1) FRAUD-IMPERSON-FALSE ID GIVEN TO LEO |
| Charge on arrest docket: | GIVING FALSE NAME TO LEO |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | AA01198396 |
| Bond exp: | AA01-198396 FOR 500 |
| Bond amount: | $500 |
