| Date of birth: | Aug 30, 1954 |
| Obts number: | 5003366872 |
| Jacket number: | 0459259 |
| Holds for other agencies: | No |
| Arresting agency: | 01-PBSO |
| Booking number: | 2014030364 |
| Booking date: | Jul 25, 2014 |
| Booking location: | Palm Beach County, FL |
| Statute: | 817.234-4042 |
| Charge: | FRAUD - INSURANCE FRAUD 20K MORE LESS 100K DOLS |
| Bond amount: | $5,000 |