| Date of birth: | 1983 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 1022894 |
| SO#: | 276076 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 11036062 |
| Booking date: | Jul 16, 2011 |
| Release date: | Jul 16, 2011 |
| Booking location: | Salt Lake County, UT |
| Booking number: | 0911170 |
| Booking date: | Apr 17, 2009 |
| Release date: | Apr 17, 2009 |
| Booking location: | Salt Lake County, UT |
| Booking number: | 0327189 |
| Booking date: | Oct 28, 2003 |
| Release date: | Oct 30, 2003 |
| Booking location: | Salt Lake County, UT |
| Offense date: | Jul 16, 2011 |
| Grade: | F |
| Description: | Utter/forge/alter a prescription |
| Degree: | 3 |
| Code: | 58.37.8.3.A.iii |
| Case number: | 111904996 |
| Status: | Paid |
| Posted: | Jul 16, 2011 |
| Number: | 111904996 |
| Amount: | $5,000 |
