| Date of birth: | May 8, 1979 |
| Obts: | 5002203801 |
| Jacket number: | 0413208 |
| Holds for other agencies: | No |
| Arresting agency: | 99-OTHER |
| Booking date: | Nov 4, 2010 |
| Booking officer: | PAUL SENETT/ DIV OF INSURANCE FRAUD |
| Release date: | Dec 7, 2010 |
| Booking location: | Palm Beach County, FL |
| Description: | FRAUD - USE FALSE ID FOR WC CLAIM LESS THAN 20K DOLS |
| Charge number: | 440.105-5654 |
| Booking number: | 2010055033 |
| Bond amount: | $3,000 |