| Date of birth: | Jun 17, 1965 |
| Obts: | 5002237090 |
| Jacket number: | 0437922 |
| Holds for other agencies: | No |
| Facility: | SURETY BOND |
| Arresting agency: | 01-PBSO |
| Booking number: | 2012040244 |
| Booking date: | Sep 26, 2012 |
| Release date: | Sep 26, 2012 |
| Booking location: | Palm Beach County, FL |
| Description: | FRAUD-FALSE STATEMENT - ON MOTOR VEHICLE INSURANCE APPLICATION |
| Charge number: | 817.236-5645 |
| Bond amount: | $3,000 |