| Date of birth: | Nov 21, 1966 |
| Obts: | 5003323741 |
| Jacket number: | 0108179 |
| Holds for other agencies: | No |
| Facility: | RELEASED TO SOR |
| Arresting agency: | 84-RIVIERA BEACH |
| Booking number: | 2012006602 |
| Booking date: | Feb 12, 2012 |
| Release date: | Feb 12, 2012 |
| Booking location: | Palm Beach County, FL |
| Description: | FRAUD - MAKE PRESENT FALSE PROOF MOTOR VEH INSURANCE |
| Charge number: | 817.2361-5646 |
| Bond amount: | $0 |