| Date of birth: | Mar 29, 1964 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2015-007099 |
| Booking date: | Apr 11, 2015 |
| Booking location: | Polk County, FL |
| Statute: | 322.34(2) MOVING TRAFFIC VIOL-KNOWINGLY DRIVE WHILE LIC SUSP |
| Charge on arrest docket: | KDWLSR W/PROP DAMAGE |
| Charge number: | 1 |