| Date of birth: | 1973 |
| Arrest number: | 2012000000006 |
| Arrest officer: | Belanger Gary D |
| Booking type: | Arrest |
| Booking location: | Worcester County, MA |
| Statute id: | 89/9 |
| Law description: | Stop/Yield, Fail to |
| Statute id: | 90/23/E |
| Law description: | License Suspended, OP MV With, Subsq. Off. (CRIM) |
| Statute id: | 90/25 |
| Law description: | FALSE NAME TO POLICE |