| Date of birth: | 1976 |
| Arrest number: | 2012000000428 |
| Arrest officer: | Cameron Adam |
| Booking officer: | Cameron Adam |
| Booking type: | Arrest |
| Booking location: | Worcester County, MA |
| Statute id: | 90/23/G |
| Law description: | Attach Plate Not Assigned |
| Statute id: | 90/34J |
| Law description: | Uninsured MV/Trailer |
| Statute id: | 90/23/K |
| Law description: | LICENSE SUSPENDED, OP MV WITH SUBSQ. OFF. (CRIM) |