| Date of birth: | 1989 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 359882 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 12047038 |
| Booking date: | Sep 8, 2012 |
| Release date: | Sep 8, 2012 |
| Booking location: | Salt Lake County, UT |
| Offense date: | Sep 8, 2012 |
| Grade: | M |
| Description: | Sale/Supply Alcoholic Beverages to Minor |
| Degree: | B |
| Code: | 6.20.130 |
| Case number: | 121601183 |
| Number: | 121601183 |