| Date of birth: | Nov 1, 1951 |
| Hold: | no |
| Booking number: | 1996-013017 |
| Booking date: | Aug 2, 1996 |
| Release date: | Aug 2, 1996 |
| Booking location: | Polk County, FL |
| Surety: | 500 |
| Statute: | 832.05 WORTHLESS CHECK-MAKE/UTTER/ISSUE |
| Charge on arrest docket: | W/C |
| Charge number: | 1 |
| Cash: | 150 |