| Date of birth: | Sep 8, 1972 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2015-009349 |
| Booking date: | May 12, 2015 |
| Release date: | May 13, 2015 |
| Booking location: | Polk County, FL |
| Statute: | 817.16 FRAUD-FALSE REPORT BY BANK TRUST COMPANY OFFICER |
| Charge on arrest docket: | FALSE REPORT BY BANK/TRUST COMPANIES OFF |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | BOND EXP. |
| Bond exp: | SBN#IS1K-372564 FOR $1000.00 |
| Bond amount: | $1,000 |