| Date of birth: | Jun 12, 1970 |
| Obts: | 5003317804 |
| Jacket number: | 0426534 |
| Holds for other agencies: | No |
| Facility: | SURETY BOND |
| Arresting agency: | 40-DELRAY BEACH |
| Booking number: | 2011047939 |
| Booking date: | Oct 21, 2011 |
| Release date: | Oct 21, 2011 |
| Booking location: | Palm Beach County, FL |
| Description: | FRAUD-FALSE STATEMENT - ON AFFIDAVIT WITH INTENT TO DEFRAUD INSURANCE |
| Charge number: | 817.23-2864 |
| Bond amount: | $3,000 |