| Date of birth: | 1964 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 1180425 |
| SO#: | 351047 |
| Booked at: | SALT LAKE |
| Cob: | Oregon |
| Citizen: | UNITED STATES |
| Booking number: | 11055798 |
| Booking date: | Nov 5, 2011 |
| Release date: | Nov 5, 2011 |
| Booking location: | Salt Lake County, UT |
| Offense date: | Nov 5, 2011 |
| Grade: | M |
| Description: | Disorderly Conduct |
| Degree: | B |
| Code: | 10.36.010.CO |
| Offense date: | Nov 5, 2011 |
| Grade: | M |
| Description: | Public Intoxication |
| Degree: | C |
| Code: | 10.36.010.l.CO |
| Status: | Open |
| Posted: | Nov 5, 2011 |
| Amount: | $755 |