| Date of birth: | 1961 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 176625 |
| SO#: | 103722 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 12027310 |
| Booking date: | May 28, 2012 |
| Release date: | May 28, 2012 |
| Booking location: | Salt Lake County, UT |
| Status: | Open |
| Amount: | $505 |