| Date of birth: | Oct 1, 1949 |
| Obts: | 5002222444 |
| Jacket number: | 0401574 |
| Holds for other agencies: | No |
| Facility: | TIME SERVED |
| Arresting agency: | 01-PBSO |
| Booking number: | 2011053590 |
| Booking date: | Nov 29, 2011 |
| Release date: | Jan 17, 2012 |
| Booking location: | Palm Beach County, FL |
| Description: | BOOKED - COMMIT |
| Charge number: | 0003 |
| Bond amount: | $0 |