| Date of birth: | Jan 2, 1972 |
| Obts: | 5002207633 |
| Arresting agency: | 99-OTHER |
| Booking number: | 2011004709 |
| Booking date: | Jan 28, 2011 |
| Booking location: | Palm Beach County, FL |
| Description: | FRAUD - USE FALSE ID FOR WC CLAIM LESS THAN 20K DOLS |
| Charge number: | 440.105-5654 |
| Bond amount: | $3,000 |