| Date of birth: | Jul 28, 1960 |
| Obts: | 5003335517 |
| Jacket number: | 0438289 |
| Holds for other agencies: | No |
| Facility: | OWN RECOGNIZANCE |
| Arresting agency: | 54-JUPITER |
| Booking number: | 2012041940 |
| Booking date: | Oct 7, 2012 |
| Release date: | Oct 8, 2012 |
| Booking location: | Palm Beach County, FL |
| Description: | BATTERY - CAUSE BODILY HARM |
| Charge number: | 784.03-2561 |
| Bond amount: | $0 |