| Date of birth: | 1963 |
| Arrest number: | 2012000000072 |
| Arrest officer: | Maynard Sean |
| Booking officer: | BOOKING2 BOOKING2 |
| Booking type: | Arrest |
| Booking location: | Worcester County, MA |
| Statute id: | 89/4A |
| Law description: | Marked LanesViolation |
| Statute id: | 90/24/C |
| Law description: | Leave Scene of Property Damage |
| Statute id: | 90/24/K |
| Law description: | OUI Liquor, 2nd Offense |