| Date of birth: | Sep 19, 1978 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2011-028490 |
| Booking date: | Dec 6, 2011 |
| Booking location: | Polk County, FL |
| Statute: | 901.31 FAILURE TO APPEAR-WRITTEN PROMISE TO APPEAR |
| Charge on arrest docket: | FTA-KDWLSR |
| Charge number: | 1 |