| Date of birth: | May 9, 1965 |
| Hold: | no |
| Dna: | yes |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2015-001212 |
| Booking date: | Jan 17, 2015 |
| Booking location: | Polk County, FL |
| Surety: | 1000 |
| Statute: | 831.02 FRAUD-UTTER FALSE INSTRUMENT |
| Charge on arrest docket: | UTTER FORGED INST DIR INFO FILED |
| Charge number: | 1 |
| Cash: | 1000 |
| Surety: | 1000 |
| Statute: | 812.014(2C2) LARC-GRAND THEFT 5K LESS THAN 10K DOLS |
| Charge on arrest docket: | GRAND THEFT O/$5000 U/$10000 DIR INFO FI |
| Charge number: | 2 |
| Cash: | 1000 |