| Date of birth: | Mar 12, 1944 |
| Hold for: | GEORGIA |
| Hold: | yes |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2013-020870 |
| Booking date: | Sep 19, 2013 |
| Booking location: | Polk County, FL |
| Statute: | 941.13 OUT-OF-STATE-FUG |
| Charge on arrest docket: | FUGITIVE FROM JUSTICE |
| Charge number: | 1 |
| Bond exp: | NO BOND |