| Date of birth: | Oct 6, 1982 |
| Hair: | Brown |
| Eyes: | Hazel |
| Arresting agency: | NCS |
| Arrest date: | Jul 2, 2011 |
| Booking number: | 20110000001766 |
| Booking location: | Nassau County, NY |
| Statute: | 948.06 |
| Description: | V.O.P CONTROL SUBST. OUT STATE BOISE, IDAHO |
| Counts: | 1 |
| Bond amount: | $0 |