| Date of birth: | Dec 8, 1933 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2004-000694 |
| Booking date: | Jan 9, 2004 |
| Release date: | Jan 9, 2004 |
| Booking location: | Polk County, FL |
| Statute: | 893.13(6A) DRUGS-POSSESS-CNTRL SUB WO PRESCRIPTION |
| Charge on arrest docket: | POSS OF METH DIRECT INFO FILED |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | 04AA027639 |
| Bond exp: | SBN #2004-AA-027639 1000.00 |
| Bond amount: | $1,000 |
| Statute: | 893.147(1) NARCOTIC EQUIP-POSSESS-AND OR USE |
| Charge on arrest docket: | POSS OF DRUG PARA DIRECT INFO FILED |
| Charge number: | 2 |
| Bond type: | SBN |
| Bond number: | 04AA027640 |
| Bond exp: | SBN #2004-AA-027640 500.00 |
| Bond amount: | $500 |
