| Date of birth: | 1979 |
| Arrest number: | 2012000000074 |
| Arrest officer: | Cameron Adam |
| Booking officer: | Cameron Adam |
| Booking type: | Arrest |
| Booking location: | Worcester County, MA |
| Statute id: | 90/10/A |
| Law description: | Unlicensed Operation of MV |
| Statute id: | 90/7/C |
| Law description: | Lights Violation, MV |
| Statute id: | 94C/34/822 |
| Law description: | Possession Class B Substance |