| Date of birth: | 1960 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 173209 |
| SO#: | 122789 |
| Booked at: | SALT LAKE |
| Cob: | California |
| Citizen: | UNITED STATES |
| Booking number: | 12035885 |
| Booking date: | Jul 13, 2012 |
| Release date: | Jul 14, 2012 |
| Booking location: | Salt Lake County, UT |
| Offense date: | Jul 13, 2012 |
| Grade: | M |
| Description: | False information to law enforcement or government agency |
| Degree: | B |
| Code: | 76.8.506 |
| Case number: | 065500005 |
| Status: | Paid |
| Posted: | Jul 13, 2012 |
| Number: | 065500005 |
| Amount: | $0 |
