| Date of birth: | Nov 1, 1960 |
| Ethnicity: | N |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 00863762 |
| Purge: | $0.00 |
| Property location: | 0283/HANG/ / |
| Pob: | NY |
| Obts: | 2939060520 |
| Last classification date time: | Jul 6, 2015 |
| Jurisdiction: | HC |
| Inmate status: | IN JAIL |
| Fine: | $0 |
| Cash: | $0.00 |
| Build: | LAR |
| Bond amount: | $2,000 |
| Arresting agency: | HCSO |
| Arrest date: | Jul 6, 2015 |
| Arrest location: | 12942 LAKE VISTA DR |
| Booking number: | 15025917 |
| Booking date: | Jul 6, 2015 |
| Booking location: | Hillsborough County, FL |
| Type: | DIRECT INFO |
| Report number: | 15423781 |
| Obts number: | 2939060520 |
| No: | 1 |
| Disposition: | PRELIM PRES COURT |
| Date: | Jul 6, 2015 |
| Ct case number: | 14-CF-009182 |
| Cra number: | HS15018078 |
| Court: | 31 |
| Count: | 1 |
| Code: | FRAU4018 |
| Class: | F3 |
| Charge description: | FRAUDULENTLY PRESENTS A FALSE STATEMENT L |
| Bp: | B |
| Bond amount: | $2,000 |
| Agency: | HCSO |
