| Date of birth: | 1979 |
| Hair: | Brown |
| Eyes: | Green |
| State id: | 174245330 |
| SO#: | 347050 |
| Booked at: | SALT LAKE |
| Cob: | California |
| Citizen: | UNITED STATES |
| Booking number: | 11030293 |
| Booking date: | Jun 14, 2011 |
| Release date: | Jun 14, 2011 |
| Booking location: | Salt Lake County, UT |
| Offense date: | Jun 14, 2011 |
| Grade: | M |
| Description: | False information to law enforcement or government agency |
| Degree: | C |
| Code: | 76.8.506 |
| Case number: | 111000430 |
| Number: | 111000430 |