| Date of birth: | Nov 11, 1952 |
| Hold: | no |
| Arresting agency: | FLORIDA HIGHWAY PATROL |
| Booking number: | 2004-027727 |
| Booking date: | Dec 7, 2004 |
| Release date: | Dec 7, 2004 |
| Booking location: | Polk County, FL |
| Statute: | 322.34(2C) NONMOVING TRAFFIC VIOL-DRIVE WHILE LIC SUSP 3RD OR |
| Charge on arrest docket: | DWLSR HTO |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | AA04396200 |
| Bond exp: | SBN AA04396200 FOR $1000.00 |
| Bond amount: | $1,000 |
