| Date of birth: | Nov 16, 1961 |
| Hair: | Gray |
| Eyes: | Brown |
| Booking number: | 2013013818 |
| Booking date: | Dec 5, 2013 |
| Booking location: | Manatee County, FL |
| Statute: | 440.105-4A3 |
| Seq: | 1 |
| Obts: | 4132005403 |
| Description: | EMP FAIL SECURE PYMT COMP CLAIM/INS UND $20,000 / WORKERS COMPENS FRAU |
| Date arrest: | Dec 5, 2013 |
| Book date: | Dec 5, 2013 |
| Book: | 2013013818 |
| Bond amount: | $1,500 |
| Statute: | 489.127-1F |
| Seq: | 2 |
| Obts: | 4132005403 |
| Description: | ENGAGE CONTRACTING BUSN WO CERTIF 1ST VIOL / WORKERS COMPENS FRAU |
| Date arrest: | Dec 5, 2013 |
| Book date: | Dec 5, 2013 |
| Book: | 2013013818 |
| Bond amount: | $500 |
