000033480 Employer? Oper Lic No. Race • White Height • 0 Misc. ID# Other Phone Nbr: Residency Type : File Charges . : Victim Sobriety: Imjury _Type 1 : Hospital ID . : Phys First Name: INFORMATION -# 6 *********** ***** **** EFTA00232045 Date: 7/25/06 Time: 8:47:53 PALM BEACH POLIC