| Date of birth: | 1985 |
| Arrest number: | 2012000000092 |
| Booking officer: | BOOKING2 BOOKING2 |
| Booking type: | Arrest |
| Booking location: | Worcester County, MA |
| Statute id: | 267/1/A |
| Law description: | Forgery of Document |
| Statute id: | 94C/33/818 |
| Law description: | Uttering a Fales Prescription |