| Date of birth: | Dec 6, 1947 |
| Obts number: | 5003361651 |
| Jacket number: | 0456000 |
| Holds for other agencies: | No |
| Facility: | SURETY BOND |
| Arresting agency: | 01-PBSO |
| Booking number: | 2014014763 |
| Booking date: | Apr 9, 2014 |
| Release date: | Apr 9, 2014 |
| Booking location: | Palm Beach County, FL |
| Statute: | 893.13-3735 |
| Charge: | FRAUD - OBTAIN CONTROLLED SUBSTANCE BY |
| Bond amount: | $3,000 |