| Date of birth: | Jul 31, 1950 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2004-013184 |
| Booking date: | Jun 8, 2004 |
| Release date: | Jul 25, 2004 |
| Booking location: | Polk County, FL |
| Statute: | 893.147(1) NARCOTIC EQUIP-POSSESS-AND OR USE |
| Charge on arrest docket: | POSS OF DRUG PARA |
| Charge number: | 1 |