| Date of birth: | Mar 19, 1963 |
| Hair: | Brown |
| Eyes: | Gray |
| Arresting agency: | NCS |
| Arrest date: | Sep 29, 2011 |
| Booking number: | 20110000002551 |
| Booking location: | Nassau County, NY |
| Statute: | 893.13 |
| Description: | POSS. MARIJUANA -20 GR |
| Counts: | 1 |
| Bond amount: | $2,502 |
| Statute: | 893.147-1 |
| Description: | POSSESSION OF DRUG PARAPHERNALIA |
| Counts: | 1 |
| Bond amount: | $502 |
| Statute: | 893.13-1A2 |
| Description: | POSS CONTROLLED SUB W/O PRESCRIPTION |
| Counts: | 1 |
| Bond amount: | $0 |