| Date of birth: | May 28, 1961 |
| Obts: | 5003301744 |
| Arresting agency: | 01-PBSO |
| Booking number: | 2011002416 |
| Booking date: | Jan 15, 2011 |
| Booking location: | Palm Beach County, FL |
| Description: | SIMPLE ASSLT - INTENT THREAT TO DO VIOLENCE |
| Charge number: | 784.011-2557 |
| Bond amount: | $0 |