EFTA00178346

# ARREST / NOTICE TO APPEAR

## Juvenile Referral Report

### OBTS Number
1291

## AGENTS INVESTIGATION

**Agency No. 1**
PALM BEACH COUNTY OFFICE
0811

**Agency Name**
PALM BEACH COUNTY OFFICE

### Charge Type
1. Fainty
2. Maintenance
3. Overseance
4. Witnessed Sensation
5. Market Clearance Indicator

### Traffic Failure
6. Traffic Madnessman

### Location of Office (Business Name, Address)

**Address:** 3228 Glenwood Rd WPW FL
**Date of Arrival:** 07.23.06
**Time of Arrival:** 01:30
**Booking Time:** Jan Date
**Jar Time:** Location of Vehicle

### NAME (Area, DOB, Sex, etc.)

Name (Last, First, Middle): ERDINICK, Seffler
Race: White
Blood Type: O
American Indian Sex: M
Location Type: Description:
Marital Status: Married
Region: Indiana
Involvement of Drug Infusion:
Type: Dose
City: Palm Beach, FL
State: FL
Phone: (526) 655-3704

Permanent Address: 1234 Wood Street Suite 4000, Palm Beach, FL 33108
Address: 1234 Wood Street Suite 4000, Palm Beach, FL 33108

Business Address (Name, Street):
(City) (State) (Zip)

### DL Number, State
090-34-3348

### Soye Number, State
090-34-3348

### HS Number
Place of Birth: New York, NY
Citizenship: U.S.

### Co-Defendant Name (Last, First, Middle)
Co-Defendant Name (Last, First, Middle):

### Parent Name (Last)
Parent Name (Last):

### Address (Street, Apartment Number)
Address (Street, Apartment Number):

### Date
Date:

### Notice by Name
Notice by Name:

### Relationship
Relationship:

### Released To (Name):
School Attended
Grade:
Yes, by (Name)
No, (Reason)

### Description of Property
Value of Property:

### BOX
Charge Description
Drug Activity Drug Type
Amount / Unit
Offeries #
Counts
Dosage Information
DV #

### CHANGE