| Date of birth: | Jul 11, 1947 |
| Hold: | no |
| Booking number: | 1993-016173 |
| Booking date: | Nov 30, 1993 |
| Release date: | Nov 30, 1993 |
| Booking location: | Polk County, FL |
| Surety: | 1000 |
| Statute: | 812.014(2C1) GRAND THEFT - OTHER $300 TO 20,000 |
| Charge on arrest docket: | GRAND THEFT |
| Charge number: | 1 |
| Cash: | 250 |
| Bond type: | CBN |
| Bond number: | 1731962A |
| Bond amount: | $250 |