| Date of birth: | 1978 |
| Hair: | Black |
| Eyes: | Brown |
| SO#: | 350043 |
| Booked at: | SALT LAKE |
| Booking number: | 11049613 |
| Booking date: | Sep 29, 2011 |
| Release date: | Sep 29, 2011 |
| Booking location: | Salt Lake County, UT |
| Offense date: | Sep 29, 2011 |
| Grade: | M |
| Description: | Permitting Alcohol on Premises for Consumption |
| Degree: | B |
| Code: | 32A.12.213 |
| Case number: | 111601167 |
| Number: | 111601167 |