| Date of birth: | May 23, 1955 |
| Obts: | 5003316547 |
| Jacket number: | 0091691 |
| Holds for other agencies: | No |
| Facility: | SURETY BOND |
| Arresting agency: | 01-PBSO |
| Booking number: | 2011044425 |
| Booking date: | Sep 28, 2011 |
| Release date: | Sep 29, 2011 |
| Booking location: | Palm Beach County, FL |
| Description: | FRAUD-FALSE STATEMENT - FALSE MEDICAID CLAIM MORE 10K LESS 50K DOLS |
| Charge number: | 409.920-6966 |
| Bond amount: | $0 |
