| Date of birth: | Nov 11, 1959 |
| Hold: | no |
| Inmate status: | Not In Custody |
| Arresting agency: | FLORIDA HIGHWAY PATROL |
| Booking number: | 2004-024160 |
| Booking date: | Oct 23, 2004 |
| Release date: | Oct 24, 2004 |
| Booking location: | Polk County, FL |
| Booking number: | 578067 |
| Booking date: | Jan 18, 2004 |
| Booking location: | Volusia County, FL |
| Statute: | 322.34(2A) NONMOVING TRAFFIC VIOL-DRIVE WHILE LIC SUSP 1ST OF |
| Charge on arrest docket: | DWLSR |
| Charge number: | 1 |
| Bond type: | CBN |
| Bond number: | 04-002171 |
| Bond exp: | CBN 04-002171 FOR $500 |
| Bond amount: | $500 |