| Date of birth: | 1984 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 1196998 |
| SO#: | 327757 |
| Booked at: | SALT LAKE |
| Cob: | Idaho |
| Citizen: | UNITED STATES |
| Booking number: | 11030801 |
| Booking date: | Jun 16, 2011 |
| Release date: | Jul 1, 2011 |
| Booking location: | Salt Lake County, UT |
| Offense date: | Jun 16, 2011 |
| Grade: | F |
| Description: | Identity Fraud - Other persons ID |
| Degree: | 3 |
| Code: | 76.6.1102.2.a.i |
| Case number: | 091905086 |
| Offense date: | Jun 16, 2011 |
| Grade: | F |
| Description: | False or fraudulent insurance act |
| Degree: | 3 |
| Code: | 76.6.521 |
| Case number: | 091905086 |
| Offense date: | Jun 16, 2011 |
| Grade: | F |
| Description: | Utter/forge/alter a prescription |
| Degree: | 2 |
| Code: | 58.37.8.3.A.iii |
| Case number: | 091905086 |
| Status: | Paid |
| Posted: | Jun 27, 2011 |
| Number: | 091905086 |
| Amount: | $15,000 |
