| Date of birth: | 1957 |
| Hair: | Bald |
| SO#: | 356646 |
| Housing section: | HS |
| Housing block: | HS |
| Booked at: | SALT LAKE |
| Cell: | 7 |
| Bed: | B |
| Booking number: | 12026083 |
| Booking date: | May 21, 2012 |
| Booking location: | Salt Lake County, UT |
| Issued by: | PROCESSING |
| Status: | Open |
| Posted: | May 21, 2012 |
| Amount: | $280 |