| Date of birth: | Jul 30, 1947 |
| Hold: | no |
| Facility: | Delinquent |
| Arresting agency: | LAKE WALES POLICE DEPT. |
| Booking number: | 2004-015249 |
| Booking date: | Jul 2, 2004 |
| Release date: | Jul 15, 2004 |
| Booking location: | Polk County, FL |
| Booking number: | 114974 |
| Jail name: | Indiana Department of Corrections |
| Location: | 302 W Washington St, Indianapolis, IN 46204 |
| Statute: | 812.155(3) FRAUD-FAIL REDELIVER HIRED LEASED PROP UND 300 DOL |
| Charge on arrest docket: | FAIL REDEL HIRE/LEASE PERS PROP FT MDOC |
| Charge number: | 1 |
| Discharge date: | Aug 9, 2002 |
| Description: | BATTERY |
| Conviction type: | FD |
| Court file number: | 35-42-2-1 |
| Case number: | 49G179909DF166030 |
| County: | MARION |