| Date of birth: | Mar 30, 1982 |
| Jacket number: | 0438450 |
| Holds for other agencies: | No |
| Arresting agency: | 99-OTHER |
| Booking number: | 2012042703 |
| Booking date: | Oct 12, 2012 |
| Booking location: | Palm Beach County, FL |
| Description: | FRAUD-FALSE STATEMENT - MISREP OMIT INF RE W/C CLAIM 100K DOLS MORE |
| Charge number: | 440.105-4620 |
| Bond amount: | $3,000 |