| Date of birth: | 1963 |
| Hair: | Blonde |
| Eyes: | Green |
| State id: | 1238632 |
| SO#: | 344611 |
| Booked at: | SALT LAKE |
| Cob: | Oregon |
| Citizen: | UNITED STATES |
| Booking number: | 11018399 |
| Booking date: | Apr 8, 2011 |
| Release date: | Apr 10, 2011 |
| Booking location: | Salt Lake County, UT |
| Booking number: | 11014194 |
| Booking date: | Mar 16, 2011 |
| Release date: | Mar 16, 2011 |
| Booking location: | Salt Lake County, UT |
| Offense date: | Apr 8, 2011 |
| Grade: | F |
| Description: | Forgery |
| Degree: | 3 |
| Code: | 32A.12.310.2 |
| Offense date: | Mar 16, 2011 |
| Grade: | F |
| Description: | Utter/forge/alter a prescription |
| Degree: | 3 |
| Code: | 58.37.8.3.A.iii |
| Status: | Paid |
| Posted: | Apr 9, 2011 |
| Amount: | $10,000 |
| Status: | Open |