| Date of birth: | 1986 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 179056370 |
| SO#: | 345720 |
| Booked at: | SALT LAKE |
| Cob: | Nevada |
| Citizen: | UNITED STATES |
| Booking number: | 11021745 |
| Booking date: | Apr 27, 2011 |
| Release date: | Apr 27, 2011 |
| Booking location: | Salt Lake County, UT |
| Offense date: | Apr 27, 2011 |
| Grade: | M |
| Description: | False information to law enforcement or government agency |
| Degree: | B |
| Code: | 76.8.506 |
| Case number: | 111600464 |
| Status: | Open |
| Number: | 111600464 |