| Date of birth: | Jun 25, 1949 |
| Obts: | 5001033626 |
| Jacket number: | 0016593 |
| Inmate location: | W-D-01-4-04M-B |
| Holds for other agencies: | No |
| Facility: | West Detention Center |
| Arresting agency: | 01-PBSO |
| Booking number: | 2012052071 |
| Booking date: | Dec 13, 2012 |
| Booking location: | Palm Beach County, FL |
| Description: | AGGRAV BATTERY - CAUSE BODILY HARM OR DISABILITY |
| Charge number: | 784.045-2564 |
| Bond amount: | $0 |