| Date of birth: | Aug 11, 1983 |
| Hair: | Brown |
| Eyes: | Hazel |
| Arresting agency: | NCS |
| Arrest date: | Jun 18, 2012 |
| Booking number: | 20120000001803 |
| Booking location: | Nassau County, NY |
| Statute: | 843.15 |
| Description: | F.T.A / D.W.L.S.R HAB. OFFENDER |
| Counts: | 1 |
| Bond amount: | $648 |