| Date of birth: | 1962 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 340788 |
| Booked at: | SALT LAKE |
| Cob: | CANADA |
| Citizen: | CANADA |
| Booking number: | 10055501 |
| Booking date: | Oct 22, 2010 |
| Release date: | Oct 22, 2010 |
| Booking location: | Salt Lake County, UT |
| Offense date: | Oct 22, 2010 |
| Grade: | F |
| Description: | Utter/forge/alter a prescription |
| Degree: | 3 |
| Code: | 58.37.8.3.A.iii |
| Case number: | 101907290 |
| Status: | Open |
| Posted: | Oct 15, 2010 |
| Number: | 101907290 |
| Amount: | $5,000 |
