| Date of birth: | 1951 |
| Hair: | Brown |
| Eyes: | Brown |
| Jacket number: | 20131861 |
| Cell: | TH-12-PPE |
| Arresting agency: | Long Beach Police Department |
| Arrest number: | 98633 |
| Arrest date: | Jun 21, 2015 |
| Booking date: | Jun 21, 2015 |
| Booking location: | La Porte County, IN |
| Warrant: | 46D04-1506-F6-0506 |
| Status: | PRE TRIAL |
| Offense date: | Jun 17, 2015 |
| Crime type: | F |
| Court type: | SUP. CRT 4 |
| Court time: | 20150622 |
| Counts: | 1 |
| Charge number: | 275806 |
| Charge description: | Furnishing False or Fraudulent Information (F6) |
| Case number: | 46D04-1506-F6-0506 |
| Bond type: | Surety |
| Bond amount: | $7,505 |
| Arrest date: | Jun 21, 2015 |
| Arrest code: | 35-48-4-14(b)(3) |
| Agency: | Long Beach Police Department |
