| Date of birth: | Jan 13, 1969 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2012-029169 |
| Booking date: | Nov 19, 2012 |
| Release date: | Nov 20, 2012 |
| Booking location: | Polk County, FL |
| Statute: | 322.34(2A) MOVING TRAFFIC VIOL-DRIVE WHILE LIC SUSP 1ST OFF |
| Charge on arrest docket: | DWLSR |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | AA12023619 |
| Bond exp: | SBN AA12023619 FOR 250.00 |
| Bond amount: | $250 |