| Date of birth: | Jul 5, 1956 |
| Obts: | 5002222876 |
| Jacket number: | 0428162 |
| Holds for other agencies: | No |
| Facility: | SURETY BOND |
| Arresting agency: | 82-PALM SPRINGS |
| Booking number: | 2011054975 |
| Booking date: | Dec 7, 2011 |
| Release date: | Dec 8, 2011 |
| Booking location: | Palm Beach County, FL |
| Description: | PASS FORGED - ALTERED INSTRUMENT |
| Charge number: | 831.02-3035 |
| Bond amount: | $4,500 |
| Description: | FRAUD-IMPERSON - ATTEMPT TO USE ID OF ANOTHER PERSON WO CONSENT |
| Charge number: | 817.568-3980 |
| Bond amount: | $4,500 |