| Date of birth: | 1951 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 604402 |
| SO#: | 249797 |
| Booked at: | SALT LAKE |
| Cob: | Florida |
| Citizen: | UNITED STATES |
| Booking number: | 12041635 |
| Booking date: | Aug 11, 2012 |
| Release date: | Aug 11, 2012 |
| Booking location: | Salt Lake County, UT |
| Booking number: | 0424119 |
| Booking date: | Oct 9, 2004 |
| Release date: | Oct 15, 2004 |
| Booking location: | Salt Lake County, UT |
| Offense date: | Aug 8, 2012 |
| Grade: | M |
| Description: | Assault - Domestic Violence |
| Degree: | B |
| Code: | 76.5.102.2 |
| Case number: | 121000555 |
| Amount: | $925 |
| Number: | 121000555 |
