| Date of birth: | Jan 23, 1957 |
| Jacket number: | 0461366 |
| Holds for other agencies: | No |
| Arresting agency: | 40-DELRAY BEACH |
| Booking number: | 2014040512 |
| Booking date: | Oct 4, 2014 |
| Booking location: | Palm Beach County, FL |
| Statute: | 328.05-591 |
| Charge: | FRAUD-FALSE STATEMENT - VESSEL APPLICATION |
| Bond amount: | $3,000 |