| Date of birth: | 1987 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 1230251 |
| SO#: | 294814 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 11061179 |
| Booking date: | Dec 7, 2011 |
| Release date: | Dec 7, 2011 |
| Booking location: | Salt Lake County, UT |
| Offense date: | Dec 7, 2011 |
| Grade: | F |
| Description: | Forgery |
| Degree: | 3 |
| Code: | 32A.12.310.2 |
| Case number: | 111909091 |
| Status: | Open |
| Number: | 111909091 |
| Amount: | $5,000 |