| Date of birth: | Jul 14, 1988 |
| Jacket number: | 0440319 |
| Holds for other agencies: | No |
| Arresting agency: | 84-RIVIERA BEACH |
| Booking number: | 2012050941 |
| Booking date: | Dec 5, 2012 |
| Booking location: | Palm Beach County, FL |
| Description: | FRAUD-FALSE STATEMENT - ON MOTOR VEHICLE INSURANCE APPLICATION |
| Charge number: | 817.236-5645 |
| Bond amount: | $3,000 |