| Date of birth: | 1962 |
| Hair: | Brown |
| Eyes: | Blue |
| SO#: | 339796 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 10049081 |
| Booking date: | Sep 17, 2010 |
| Release date: | Sep 17, 2010 |
| Booking location: | Salt Lake County, UT |
| Offense date: | Aug 23, 2010 |
| Grade: | F |
| Description: | Forgery (specify documents) |
| Degree: | 3 |
| Code: | 76.6.501 |