| Date of birth: | May 1, 1981 |
| Obts: | 5002220608 |
| Jacket number: | 0238456 |
| Holds for other agencies: | No |
| Facility: | SURETY BOND |
| Arresting agency: | 01-PBSO |
| Booking number: | 2011047402 |
| Booking date: | Oct 18, 2011 |
| Release date: | Oct 19, 2011 |
| Booking location: | Palm Beach County, FL |
| Description: | FRAUD - CONCEAL INFO TO OBTAIN PRESCRIPTION |
| Charge number: | 893.13-3730 |
| Bond amount: | $2,000 |