| Date of birth: | Sep 3, 1954 |
| Hair: | Brown |
| Eyes: | Brown |
| Facility: | Blythe Jail |
| Case number: | A122630007 |
| Bail amount: | $5,000 |
| Arresting agency: | Colorado River Station |
| Arrest date: | Sep 19, 2012 |
| Arrest location: | 15850 5TH AVE, BLYTHE CA 92225 |
| Booking number: | 201241418 |
| Booking date: | Sep 19, 2012 |
| Release date: | Sep 19, 2012 |
| Booking location: | Riverside County, CA |
| Type: | FEL |
| Description: | FALSE/ETC CLAIM:THEFT VE |
| Charge: | 550(A)(4) |
| Booking type: | PC |
| Bond amount: | $5,000 |
| Type: | FEL |
| Description: | DEFRAUDING HEALTH CARE P |
| Charge: | 550(B)(2) |
| Booking type: | PC |
| Bond amount: | $5,000 |
