| Date of birth: | Sep 1, 1978 |
| Obts: | 5002227019 |
| Jacket number: | 0431163 |
| Holds for other agencies: | No |
| Facility: | OWN RECOGNIZANCE |
| Arresting agency: | 66-MANALAPAN |
| Booking number: | 2012009705 |
| Booking date: | Mar 4, 2012 |
| Release date: | Mar 4, 2012 |
| Booking location: | Palm Beach County, FL |
| Description: | FRAUD-IMPERSON - FALSE ID GIVEN TO LEO |
| Charge number: | 901.36-3978 |
| Bond amount: | $0 |