| Date of birth: | Aug 21, 1950 |
| Jacket number: | 0459604 |
| Holds for other agencies: | No |
| Arresting agency: | 01-PBSO |
| Booking number: | 2014031961 |
| Booking date: | Aug 5, 2014 |
| Booking location: | Palm Beach County, FL |
| Statute: | 117.105-123 |
| Charge: | FRAUD - NOTARY FALSELY CERTIFY ANY INSTRUMENT |
| Bond amount: | $3,000 |