| Date of birth: | Oct 3, 1962 |
| Obts: | 5003301648 |
| Arresting agency: | 01-PBSO |
| Booking number: | 2011002092 |
| Booking date: | Jan 13, 2011 |
| Booking location: | Palm Beach County, FL |
| Description: | FRAUD-FALSE STATEMENT - FILED W INSURANCE OFFICE |
| Charge number: | 817.234-5343 |
| Bond amount: | $3,000 |
| Description: | MAKING FALSE REPORT - OF COMMISSION OF CRIME |
| Charge number: | 817.49-2905 |
| Bond amount: | $0 |
