| Date of birth: | Jan 11, 1975 |
| Obts: | 5002219926 |
| Jacket number: | 0425889 |
| Holds for other agencies: | No |
| Facility: | OWN RECOGNIZANCE |
| Arresting agency: | 01-PBSO |
| Booking number: | 2011045058 |
| Booking date: | Oct 2, 2011 |
| Release date: | Oct 2, 2011 |
| Booking location: | Palm Beach County, FL |
| Description: | SIMPLE ASSLT - ON OFFICER FIREFIGHTER EMT ETC |
| Charge number: | 784.07-2572 |
| Bond amount: | $0 |