| Date of birth: | 1967 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 665119 |
| SO#: | 175695 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0936237 |
| Booking date: | Dec 6, 2009 |
| Release date: | Dec 6, 2009 |
| Booking location: | Salt Lake County, UT |
| Grade: | M |
| Description: | Assault |
| Degree: | A |
| Code: | 76.5.102.2 |
| Case number: | 091908973 |
| Number: | 091908973 |
| Amount: | $5,000 |