| Date of birth: | 1972 |
| Hair: | Black |
| Eyes: | Brown |
| SO#: | 351847 |
| Booked at: | SALT LAKE |
| Cob: | IRAQ |
| Citizen: | UNITED STATES |
| Booking number: | 11060790 |
| Booking date: | Dec 5, 2011 |
| Release date: | Dec 7, 2011 |
| Booking location: | Salt Lake County, UT |
| Offense date: | Dec 5, 2011 |
| Grade: | F |
| Description: | Obtain Controlled Substance by Fraud/Misrepresentation |
| Degree: | 3 |
| Code: | 58.37.8.3.A.ii |
| Offense date: | Dec 5, 2011 |
| Grade: | M |
| Description: | False information to law enforcement or government agency |
| Degree: | B |
| Code: | 76.8.506 |
| Status: | Paid |
| Posted: | Dec 6, 2011 |
| Amount: | $5,555 |