| Date of birth: | Jan 7, 1977 |
| Jacket number: | 0440144 |
| Holds for other agencies: | No |
| Arresting agency: | 99-OTHER |
| Booking number: | 2012050230 |
| Booking date: | Nov 30, 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: | $3,000 |