| Date of birth: | Aug 6, 1958 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2012-019433 |
| Booking date: | Jul 30, 2012 |
| Release date: | Jul 31, 2012 |
| Booking location: | Polk County, FL |
| Statute: | 893.13(7A8) FRAUD-CONCEAL INFO TO OBTAIN PRESCRIPTION |
| Charge on arrest docket: | WITHHOLD INFORM TO OBTAIN CONTRL SUBST |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | BOND EXP. |
| Bond exp: | SBN#AS5874720 FOR$1000.00 |
| Bond amount: | $1,000 |
| Statute: | 893.13(7A8) FRAUD-CONCEAL INFO TO OBTAIN PRESCRIPTION |
| Charge on arrest docket: | WITHHOLD INFORM TO OBTAIN CONTRL SUBS |
| Charge number: | 2 |
| Bond type: | SBN |
| Bond number: | BOND EXP. |
| Bond exp: | SBN#AS5874721 FOR$1000.00 |
| Bond amount: | $1,000 |
| Statute: | 893.13(7A8) FRAUD-CONCEAL INFO TO OBTAIN PRESCRIPTION |
| Charge on arrest docket: | WITHHOLD INFORM TO OBTAIN CONTRL SUBSTAN |
| Charge number: | 3 |
| Bond type: | SBN |
| Bond number: | BOND EXP. |
| Bond exp: | SBN#AS5874722 FOR$1000.00 |
| Bond amount: | $1,000 |
