| Date of birth: | 1974 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 1230537 |
| SO#: | 350395 |
| Booked at: | SALT LAKE |
| Cob: | UNITED STATES |
| Citizen: | UNITED STATES |
| Booking number: | 11051748 |
| Booking date: | Oct 12, 2011 |
| Release date: | Oct 12, 2011 |
| Booking location: | Salt Lake County, UT |
| Offense date: | Oct 12, 2011 |
| Grade: | M |
| Description: | Delivery of Certificate by Division |
| Degree: | A |
| Code: | 41.1A.515 |
| Case number: | 111407132 |
| Offense date: | Oct 12, 2011 |
| Grade: | M |
| Description: | License certificate violation |
| Degree: | A |
| Code: | 53.3.229 |
| Case number: | 111407132 |
| Status: | Open |
| Posted: | Oct 12, 2011 |
| Number: | 111407132 |
| Amount: | $5,000 |