| Date of birth: | 1978 |
| Description: | L.SIDE OF NECK |
| Description: | ON STOMACH |
| Arresting agency: | CHARLEROI POLICE |
| Booking number: | 04-00593 |
| Booking date: | Mar 16, 2004 |
| Release date: | Mar 16, 2004 |
| Jail name: | Washington County Jail |
| Location: | 100 W Cherry Ave, Washington, PA 15301 |
| Description: | FALSE IDENTIFICATION TO LAW ENFORCEMENT |
| Description: | IDENTITY THEFT |
| Description: | FALSE REPORT TO LAW ENFORCE AUTHORITIES |
| Description: | DRG LIC SUS/REV PURS TO SEC 3731/1547B1 |
| Description: | FORGERY-UNAUTHORIZED ACT IN WRITING |
| Description: | $1,500.00 - STRAIGHT BOND |
