| Date of birth: | Dec 6, 1943 |
| Hair: | White |
| Eyes: | Hazel |
| Supervision type: | PROBATION FELONY |
| Supervision begin date: | May 16, 2011 |
| Scheduled termination date: | Nov 15, 2012 |
| Inmate status: | ACTIVE |
| DC number: | W42219 |
| Obts number: | 5002208726 |
| Jacket number: | 0417231 |
| Holds for other agencies: | No |
| Facility: | SURETY BOND |
| Arresting agency: | 01-PBSO |
| Booking number: | 2011008628 |
| Booking date: | Feb 19, 2011 |
| Booking officer: | D/S SAUL |
| Release date: | Feb 19, 2011 |
| Booking location: | Palm Beach County, FL |
| Booking location: | Palm Beach County, FL |
| Description: | FORGERY OF - ALTER PUBLIC RECORD CERTIFICATE ETC |
| Charge number: | 831.01-3033 |
| Bond amount: | $3,000 |
| Description: | FRAUD - FAIL CREDIT OTHER PAY PUB ASST 200 DOLS MORE |
| Charge number: | 414.39-965 |
| Bond amount: | $3,000 |
