| Date of birth: | 1976 |
| Hair: | Blonde |
| Eyes: | Blue |
| State id: | 1103577 |
| SO#: | 298263 |
| Booked at: | SALT LAKE |
| Cob: | Virginia |
| Citizen: | UNITED STATES |
| Booking number: | 11033427 |
| Booking date: | Jul 1, 2011 |
| Release date: | Jul 1, 2011 |
| Booking location: | Salt Lake County, UT |
| Offense date: | Jul 1, 2011 |
| Grade: | F |
| Description: | Forgery (specify documents) |
| Degree: | 3 |
| Code: | 76.6.501 |
| Offense date: | Jul 1, 2011 |
| Grade: | M |
| Description: | Driv MV Prohib While Driving Priv Denied/Susp/Disqual/Revok |
| Degree: | B |
| Code: | 53.3.227 |
| Case number: | 081400066 |
| Status: | Open |
| Posted: | Jul 1, 2011 |
| Number: | 081400066 |
| Amount: | $650 |