| Date of birth: | May 11, 1964 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2004-014988 |
| Booking date: | Jun 30, 2004 |
| Release date: | Aug 27, 2004 |
| Booking location: | Polk County, FL |
| Statute: | 322.34(2B) NONMOVING TRAFFIC VIOL-DRIVE WHILE LIC SUSP 2ND OF |
| Charge on arrest docket: | DLWSR W/KNOWLEDGE |
| Charge number: | 1 |
| Statute: | 948.06 PROB VIOLATION-OR COMMTY CONT RE UNK/FEL/MISD/JUV |
| Charge on arrest docket: | VOP DUI ADD ON 070104 |
| Charge number: | 3 |
| Statute: | 318.14 RESIST OFFICER-REFUSE TO ACCEPT SIGN CITATION OR P |
| Charge on arrest docket: | REFUSAL TO SIGN CITATION |
| Charge number: | 2 |
