| Date of birth: | Dec 8, 1958 |
| Hold for: | MICHIGAN |
| Hold: | yes |
| Disposition of hold: | REL PER TTY |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2004-011978 |
| Booking date: | May 24, 2004 |
| Release date: | Jun 9, 2004 |
| Booking location: | Polk County, FL |
| Statute: | 941.13 OUT-OF-STATE-FUG-REF-FUGITIVE WARRANT OF EXTRADITI |
| Charge on arrest docket: | FUG FROM JUSTICE CHILD SUPPORT MICHIGAN |
| Charge number: | 1 |
