| Date of birth: | Apr 29, 1965 |
| Hold: | no |
| Arresting agency: | DPT OF CRCTS PROB BARTOW |
| Booking number: | 2004-020790 |
| Booking date: | Sep 13, 2004 |
| Release date: | Oct 21, 2004 |
| Booking location: | Polk County, FL |
| Statute: | 948.06 PROB VIOLATION-OR COMMTY CONT RE UNK/FEL/MISD/JUV |
| Charge on arrest docket: | VOP ROW/V |
| Charge number: | 1 |