| Date of birth: | 1968 |
| Hair: | Blonde |
| Eyes: | Green |
| SO#: | 342826 |
| Booked at: | SALT LAKE |
| Cob: | North Dakota |
| Citizen: | UNITED STATES |
| Booking number: | 11002307 |
| Booking date: | Jan 13, 2011 |
| Release date: | Jan 13, 2011 |
| Booking location: | Salt Lake County, UT |
| Offense date: | Jan 13, 2011 |
| Grade: | F |
| Description: | Obtain Controlled Substance by Fraud/Misrepresentation |
| Degree: | 3 |
| Code: | 58.37.8.3.A.ii |
| Case number: | 101402618 |
| Offense date: | Jan 13, 2011 |
| Grade: | F |
| Description: | Forgery |
| Degree: | 3 |
| Code: | 32A.12.310.2 |
| Case number: | 101402618 |
| Offense date: | Jan 13, 2011 |
| Grade: | F |
| Description: | IDENTITY FRAUD (LESS THAN 5000) |
| Degree: | 3 |
| Code: | 76.6.1102.3A |
| Case number: | 101402618 |
| Number: | 101402618 |
