| Date of birth: | Aug 3, 1962 |
| Hair: | Gray |
| Eyes: | Brown |
| Arresting agency: | NCS |
| Arrest date: | Sep 23, 2012 |
| Booking number: | 20120000002860 |
| Booking location: | Nassau County, NY |
| Statute: | 741.31 |
| Description: | VIOLATION OF INJUNCTION |
| Counts: | 1 |
| Bond amount: | $0 |
| Statute: | 810.02 |
| Description: | BURGLARY |
| Counts: | 1 |
| Bond amount: | $0 |
| Statute: | 812.014 |
| Description: | PETIT THEFT |
| Counts: | 1 |
| Bond amount: | $0 |