| Date of birth: | Jan 25, 1968 |
| Obts number: | 5002273481 |
| Jacket number: | 0109599 |
| Holds for other agencies: | No |
| Facility: | OWN RECOGNIZANCE |
| Arresting agency: | 54-JUPITER |
| Booking number: | 2014034517 |
| Booking date: | Aug 22, 2014 |
| Release date: | Aug 22, 2014 |
| Booking location: | Palm Beach County, FL |
| Statute: | 901.36-3978 |
| Charge: | FRAUD-IMPERSON - FALSE ID GIVEN TO LEO |
| Bond amount: | $0 |