| Date of birth: | Jan 17, 1964 |
| Registered felon date: | Dec 14, 2007 |
| Hold: | no |
| Dna: | yes |
| Booking number: | 2004-015481 |
| Booking date: | Jul 6, 2004 |
| Release date: | Jul 10, 2004 |
| Booking location: | Polk County, FL |
| Statute: | 827.06 WITHHOLD SUPPORT-NON SUPPORT OF CHILDREN OR SPOUSE |
| Purge number: | 6147 |
| Charge on arrest docket: | DRD |
| Charge number: | 1 |
| Bond exp: | PURGE# 6147 FOR 1000.00 |
| Bond amount: | $1,000 |