| Date of birth: | Dec 11, 1956 |
| Hold: | no |
| Arresting agency: | FORT MEADE POLICE DEPT. |
| Booking number: | 2005-000275 |
| Booking date: | Jan 4, 2005 |
| Release date: | Jan 5, 2005 |
| Booking location: | Polk County, FL |
| Statute: | 856.011 DISORDERLY INTOX-DISORDER INTOX PUBLIC PLACE CAUSE |
| Charge on arrest docket: | DIRORDERLY INTOXICATION |
| Charge number: | 1 |