| Date of birth: | 1965 |
| Arrest number: | 2012000000080 |
| Arrest officer: | Cameron Adam |
| Booking officer: | Cameron Adam |
| Booking type: | Arrest |
| Booking location: | Worcester County, MA |
| Statute id: | 89/4A |
| Law description: | Marked LanesViolation |
| Statute id: | 90/24/J |
| Law description: | OUI Liquor |
| Statute id: | 90/24/O |
| Law description: | Reckless Operation of Motor Vehicle |