| Date of birth: | 1967 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 1122985 |
| SO#: | 252802 |
| Booked at: | SALT LAKE |
| Cob: | PERU |
| Citizen: | PERU |
| Booking number: | 12034471 |
| Booking date: | Jul 6, 2012 |
| Release date: | Jul 6, 2012 |
| Booking location: | Salt Lake County, UT |
| Offense date: | Jul 6, 2012 |
| Grade: | M |
| Description: | Assault |
| Degree: | B |
| Code: | 76.5.102 |
| Case number: | 121000352 |
| Number: | 121000352 |
