| Date of birth: | Aug 17, 1950 |
| Hold: | no |
| Booking number: | 2004-021794 |
| Booking date: | Sep 25, 2004 |
| Release date: | Nov 19, 2004 |
| Booking location: | Polk County, FL |
| Statute: | 316.193(1) TRAFFIC OFFENSE-DUI ALCOHOL OR DRUGS 1ST OFF |
| Charge on arrest docket: | DUI SBI |
| Charge number: | 1 |
| Statute: | 948.06 PROB VIOLATION-OR COMMTY CONT RE UNK/FEL/MISD/JUV |
| Charge on arrest docket: | VOP-POSS METH AO 100904 |
| Charge number: | 2 |