| Date of birth: | Oct 14, 1962 |
| Obts: | 5003301289 |
| Arresting agency: | 01-PBSO |
| Booking number: | 2011001049 |
| Booking date: | Jan 7, 2011 |
| Booking location: | Palm Beach County, FL |
| Description: | FRAUD - OBTAIN CONTROLLED SUBSTANCE BY |
| Charge number: | 893.13-3735 |
| Bond amount: | $3,000 |