| Date of birth: | Oct 12, 1957 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2003-026436 |
| Booking date: | Dec 6, 2003 |
| Release date: | Dec 30, 2003 |
| Booking location: | Polk County, FL |
| Statute: | 843.02 RESIST OFFICER-OBSTRUCT WO VIOLENCE |
| Charge on arrest docket: | RESIST OFFICER W/OUT VIOL FTA ARRG |
| Charge number: | 1 |
| Statute: | 88888888888 COUNTY ORDINANCE VIOL |
| Charge on arrest docket: | PUBLIC CONSUPTION FTA ARRG |
| Charge number: | 2 |
