| Date of birth: | Feb 13, 1969 |
| Obts number: | 5003359777 |
| Jacket number: | 0461030 |
| Holds for other agencies: | No |
| Facility: | SURETY BOND |
| Arresting agency: | 99-OTHER |
| Booking number: | 2014038913 |
| Booking date: | Sep 23, 2014 |
| Release date: | Sep 23, 2014 |
| Booking location: | Palm Beach County, FL |
| Statute: | 322.212-3888 |
| Charge: | FRAUD-FALSE STATEMENT - USE FALSE INFO EXCEPT DOB TO GET DR LICENSE/ID |
| Bond amount: | $3,000 |
