| Date of birth: | Nov 30, 1973 |
| Ethnicity: | H |
| Hair: | Black |
| Eyes: | Brown |
| Street number: | 3481 |
| Incident number: | 201100000458 |
| Hand use: | R |
| Cid number: | 000000062955 |
| Build: | MED |
| Birth place: | MM |
| Booking date: | Mar 17, 2011 |
| Release date: | Mar 17, 2011 |
| Booking location: | Hardee County, FL |
| Statute: | 440.105.4b9~3 |
| Reference number: | 2501027995 |
| Incident agency: | FDFS |
| Description: | Fraud/use False Id For Wc Claim Less Tha |
| Charge degree: | 3 |
| Case number: | 11-130cf |
| Bond amount: | $1,000 |
| Arrest officer: | DFS/DIF Det. Tischler |
| Statute: | 817.568.2a~2 |
| Reference number: | 2501027995 |
| Incident agency: | FDFS |
| Description: | Fraud-imperson/use/poss Id Of Another Pe |
| Charge degree: | 3 |
| Case number: | 11-130cf |
| Bond amount: | $1,000 |
| Arrest officer: | DFS/DIF |
