| Date of birth: | Nov 9, 1978 |
| Jacket number: | 0425377 |
| Holds for other agencies: | No |
| Arresting agency: | 01-PBSO |
| Booking number: | 2013038498 |
| Booking date: | Sep 16, 2013 |
| Booking location: | Palm Beach County, FL |
| Statute: | 901.36-3978 |
| Charge: | FRAUD-IMPERSON - FALSE ID GIVEN TO LEO |
| Bond amount: | $0 |