| Date of birth: | Dec 16, 1982 |
| Hair: | Brown |
| Eyes: | Brown |
| Arresting agency: | NCS |
| Arrest date: | Nov 7, 2011 |
| Booking number: | 20110000002910 |
| Booking location: | Nassau County, NY |
| Statute: | 843.15 |
| Description: | F.T.A - OBST OR OPP A POLICE OFFICER |
| Counts: | 1 |
| Bond amount: | $394.50 |