| Date of birth: | 1961 |
| Hair: | Brown |
| Eyes: | Blue |
| SO#: | 116419 |
| Housing section: | HS |
| Housing block: | HS |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Cell: | 40 |
| Bed: | B |
| Booking number: | 12019524 |
| Booking date: | Apr 16, 2012 |
| Booking location: | Salt Lake County, UT |
| Set by: | Oliver MHM |
| Issued by: | JAIL HEALTH SERVICES - MEDICAL / MH |
| Comp date: | Apr 20, 2012 |
| Status: | Open |
| Posted: | Apr 19, 2012 |
| Number: | 121903796 |
| Amount: | $2,500 |
