| Date of birth: | 1970 |
| Hair: | Brown |
| Eyes: | Green |
| SO#: | 333185 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 1006154 |
| Booking date: | Feb 1, 2010 |
| Release date: | Feb 1, 2010 |
| Booking location: | Salt Lake County, UT |
| Offense date: | Feb 1, 2010 |
| Grade: | F |
| Description: | Obtain Controlled Substance by Fraud/Misrepresentation |
| Degree: | 3 |
| Code: | 58.37.8.3.A.ii |
| Offense date: | Feb 1, 2010 |
| Grade: | F |
| Description: | Forgery (specify documents) |
| Degree: | 3 |
| Code: | 76.6.501 |