| Date of birth: | Jan 15, 1956 |
| Obts: | 5003298731 |
| Jacket number: | 0265501 |
| Holds for other agencies: | No |
| Arresting agency: | 32-BOCA RATON |
| Booking date: | Nov 21, 2010 |
| Booking officer: | MCINNIS |
| Release date: | Nov 22, 2010 |
| Booking location: | Palm Beach County, FL |
| Description: | LARC - PETIT THIRD OR SUBSQ OFF |
| Charge number: | 812.014-2800 |
| Booking number: | 2010057911 |
| Bond amount: | $0 |