| Date of birth: | Aug 7, 1949 |
| Hold: | no |
| Booking number: | 1996-014164 |
| Booking date: | Aug 21, 1996 |
| Release date: | Aug 25, 1996 |
| Booking location: | Polk County, FL |
| Statute: | 843.02 RESIST/OBST- OFCR W/O VIOLENCE |
| Charge on arrest docket: | ROWOV(FTPF) |
| Charge number: | 1 |