| Date of birth: | May 23, 1961 |
| Hair: | Brown |
| Eyes: | Brown |
| Arresting agency: | NCS |
| Booking number: | 20120000002934 |
| Booking location: | Nassau County, NY |
| Statute: | 901.04 |
| Description: | LEE COUNTY WARRANT FTA OPER. MOTOR VEH. NO DL |
| Counts: | 1 |
| Bond amount: | $350 |
| Statute: | 901.04 |
| Description: | POLK CO WARRANT VOP PROVIDING FALSE NAME TO LEO |
| Counts: | 1 |
| Bond amount: | $2,500 |