| Obts number: | 5002214646 |
| Jacket number: | 0201702 |
| Holds for other agencies: | No |
| Facility: | OWN RECOGNIZANCE |
| Arresting agency: | 76-PALM BEACH |
| Booking number: | 2011028310 |
| Booking date: | Jun 20, 2011 |
| Booking officer: | CARISTO |
| Release date: | Jun 21, 2011 |
| Booking location: | Palm Beach County, FL |
| Description: | FRAUD - CONCEAL INFO TO OBTAIN PRESCRIPTION |
| Charge number: | 893.13-3730 |
| Bond amount: | $3,000 |