| Date of birth: | Oct 2, 1972 |
| Hair: | Brown |
| Eyes: | Blue |
| Pin: | 0200670646 |
| Obts: | 5801158964 |
| Id number: | VPD |
| Employer: | UNEMPLOYED |
| Birth place: | MINNEAPOLIS |
| Arresting agency: | FL0580200 |
| Arrest date: | Oct 18, 2010 |
| Arrest location: | VENICE REGIONAL MEDI |
| Arrest officer: | GAY,ANGELA |
| Booking number: | 201000014206 |
| Booking date: | Oct 18, 2010 |
| Release date: | Oct 18, 2010 |
| Booking location: | Sarasota County, FL |
| Type: | AB |
| Statute: | 893.13(7a9) |
| Charge description: | FRAUD: OBTAIN CONTROLLED SUBSTANCE BY |
| Case number: | 2010 CF 013375 NC |
| Bond amount: | $1,000 |
| Argn date: | Nov 12, 2010 |
