| Date of birth: | May 14, 1963 |
| Pob: | salt lake city,UT |
| Inmate number: | 762463 |
| Arresting agency: | GARFIELD COUNTY SHERIFFS OFFICE |
| Arrest officer: | PIERSON, CLINT |
| Booking number: | 16103 |
| Booking location: | Garfield County, UT |
| Level: | Other |
| Description: | Warrant of Commitment |
| Code no: | 77-3-8 |