| Date of birth: | Jul 8, 1936 |
| Obts: | 500229373 |
| Jacket number: | 0432913 |
| Holds for other agencies: | No |
| Facility: | SURETY BOND & SOR |
| Arresting agency: | 99-OTHER |
| Booking number: | 2012017066 |
| Booking date: | Apr 20, 2012 |
| Release date: | Apr 21, 2012 |
| Booking location: | Palm Beach County, FL |
| Description: | FRAUD-FALSE STATEMENT - MISREP OMIT INF RE W/C CLAIM LESS 20K DOLS |
| Charge number: | 440.105-990 |
| Bond amount: | $1,000 |
| Description: | LARC - GRAND THEFT 10K LESS THAN 20K DOLS |
| Charge number: | 812.014-4090 |
| Bond amount: | $1,000 |
