| Date of birth: | 1969 |
| Hair: | Blonde |
| Eyes: | Blue |
| State id: | 1015995 |
| SO#: | 267454 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 11041493 |
| Booking date: | Aug 16, 2011 |
| Release date: | Sep 28, 2011 |
| Booking location: | Salt Lake County, UT |
| Issued by: | JAIL HEALTH SERVICES - MEDICAL / MH |
| Status: | Open |
| Posted: | Aug 17, 2011 |
| Number: | 111409644 |
| Amount: | $1,210 |
| Status: | Sentenced |
| Number: | 091900401 |