| Date of birth: | Jul 24, 1959 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 1028079 |
| SO#: | 340221 |
| Booked at: | SALT LAKE |
| Cob: | Maryland |
| Citizen: | UNITED STATES |
| Booking number: | 10051985 |
| Booking date: | Oct 3, 2010 |
| Release date: | Oct 6, 2010 |
| Booking location: | Salt Lake County, UT |
| Booking location: | Weber County, UT |
| Offense date: | Oct 3, 2010 |
| Grade: | F |
| Description: | Forged writing or device for writing - possession of |
| Degree: | 3 |
| Code: | 76.6.502 |
| Case number: | 031903153 |
| Number: | 031903153 |