| Date of birth: | Jun 10, 1966 |
| Obts: | 5003339690 |
| Jacket number: | 0169717 |
| Holds for other agencies: | No |
| Facility: | OWN RECOGNIZANCE |
| Arresting agency: | 64-LANTANA |
| Booking number: | 2013000927 |
| Booking date: | Jan 7, 2013 |
| Release date: | Jan 8, 2013 |
| Booking location: | Palm Beach County, FL |
| Description: | BATTERY - TOUCH OR STRIKE |
| Charge number: | 784.03-2560 |
| Bond amount: | $0 |