| Date of birth: | Jun 5, 1941 |
| Obts: | 5003325641 |
| Jacket number: | 0431807 |
| Holds for other agencies: | No |
| Facility: | SURETY BOND |
| Arresting agency: | 99-OTHER |
| Booking number: | 2012012155 |
| Booking date: | Mar 20, 2012 |
| Release date: | Mar 20, 2012 |
| Booking location: | Palm Beach County, FL |
| Description: | FRAUD - EMP NOT GET WORK COMP INS UNDER 20K DOLS |
| Charge number: | 440.105-989 |
| Bond amount: | $4,500 |
| Description: | FRAUD - VIOL WORK COMP STOP WORK ORDER LESS THAN 20K |
| Charge number: | 440.105-5651 |
| Bond amount: | $4,500 |