| Date of birth: | Feb 21, 1977 |
| Obts: | 5002201973 |
| Jacket number: | 0411800 |
| Holds for other agencies: | No |
| Arresting agency: | 78 - PALM BEACH GRDNS |
| Booking date: | Sep 28, 2010 |
| Booking officer: | LEBLANC |
| Release date: | Oct 5, 2010 |
| Booking location: | Palm Beach County, FL |
| Description: | FRAUD-CONCEAL INFO TO OBTAIN PRESCRIPTION |
| Charge number: | 893.13-3730 |
| Booking number: | 2010048409 |
| Bond amount: | $1,500 |