| Obts number: | 5002213007 |
| Jacket number: | 0420617 |
| Holds for other agencies: | No |
| Facility: | OWN RECOGNIZANCE |
| Arresting agency: | 99-OTHER |
| Booking number: | 2011022937 |
| Booking date: | May 19, 2011 |
| Booking officer: | WILLIAM HILL |
| Release date: | May 20, 2011 |
| Booking location: | Palm Beach County, FL |
| Description: | FRAUD - USE FALSE ID FOR WC CLAIM LESS THAN 20K DOLS |
| Charge number: | 440.105-5654 |
| Bond amount: | $3,000 |