| Date of birth: | Oct 1, 1984 |
| Ethnicity: | H |
| Hair: | Black |
| Eyes: | Brown |
| SO#: | 00851558 |
| Purge: | $0.00 |
| Property location: | 1522/ / / |
| Pob: | NJ |
| Obts: | 2939052183 |
| Last classification date time: | Sep 4, 2014 |
| Jurisdiction: | TA |
| Inmate status: | IN JAIL |
| Fine: | $0 |
| Cash: | $0.00 |
| Build: | LAR |
| Bond amount: | $7,500 |
| Supervision type: | PROBATION FELONY |
| Supervision begin date: | Dec 8, 2014 |
| Scheduled termination date: | Dec 7, 2019 |
| DC number: | T87177 |
| Current location: | CLEARWATER |
| Arresting agency: | TPD |
| Arrest date: | Sep 4, 2014 |
| Arrest location: | 22ND ST N/7TH AV E |
| Booking number: | 14036370 |
| Booking date: | Sep 4, 2014 |
| Booking location: | Hillsborough County, FL |
| Booking location: | Hillsborough County, FL |
| Discharge date: | Dec 8, 2014 |
| Offense date: | Dec 1, 2011 |
| Offense: | PHYSICIAN/INSURANCE FRAUD |
| County: | HILLSBOROUGH |
| Community supervision length: | 5Y 0M 0D |
| Case number: | 1411211 |
| Type: | DIRECT INFO |
| Report number: | 14567625 |
| Remark: | ORGANIZING, PLANNING/PART IN AN INTERN MV |
| Obts number: | 2939052183 |
| No: | 1 |
| Disposition: | PRELIM PRES COURT |
| Date: | Sep 4, 2014 |
| Ct case number: | 1411211CF |
| Cra number: | 2009428 |
| Court: | 31 |
| Count: | 1 |
| Code: | FRAU4014 |
| Class: | F2 |
| Charge description: | ORGANIZING, PLANNING OR PARTICIPATING IN A |
| Bp: | B |
| Bond amount: | $7,500 |
| Agency: | TPD |
