| Date of birth: | May 7, 1948 |
| Hold: | no |
| Booking number: | 1995-017855 |
| Booking date: | Nov 2, 1995 |
| Release date: | Nov 2, 1995 |
| Booking location: | Polk County, FL |
| Statute: | 827.06 NON-SUPPORT |
| Purge number: | 2495852A |
| Charge on arrest docket: | DRD |
| Charge number: | 1 |
| Bond amount: | $900 |