| Date of birth: | May 1, 1954 |
| Obts: | 5003316609 |
| Jacket number: | 0304373 |
| Holds for other agencies: | No |
| Facility: | OWN RECOGNIZANCE |
| Arresting agency: | 01-PBSO |
| Booking number: | 2011044575 |
| Booking date: | Sep 29, 2011 |
| Release date: | Sep 30, 2011 |
| Booking location: | Palm Beach County, FL |
| Description: | BATTERY - TOUCH OR STRIKE |
| Charge number: | 784.03-2560 |
| Bond amount: | $0 |