| Date of birth: | 1962 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 243702 |
| SO#: | 336371 |
| Booked at: | SALT LAKE |
| Cob: | Wisconsin |
| Citizen: | UNITED STATES |
| Booking number: | 10026849 |
| Booking date: | May 24, 2010 |
| Release date: | May 24, 2010 |
| Booking location: | Salt Lake County, UT |
| Offense date: | May 24, 2010 |
| Grade: | F |
| Description: | Forgery |
| Degree: | 3 |
| Code: | 32A.12.310.2 |
| Case number: | 101401063 |
| Status: | Open |
| Posted: | May 24, 2010 |
| Number: | 101401063 |
| Amount: | $5,000 |