| Date of birth: | 1983 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 1178726 |
| SO#: | 321452 |
| Booked at: | SALT LAKE |
| Cob: | MEXICO |
| Citizen: | MEXICO |
| Booking number: | 0940148 |
| Booking date: | Dec 30, 2009 |
| Release date: | Dec 30, 2009 |
| Booking location: | Salt Lake County, UT |
| Offense date: | Dec 30, 2009 |
| Grade: | M |
| Description: | False gov record |
| Degree: | B |
| Code: | 76.8.511 |
| Offense date: | Dec 30, 2009 |
| Grade: | M |
| Description: | False information to law enforcement or government agency |
| Degree: | B |
| Code: | 76.8.506 |
| Status: | Open |
| Posted: | Dec 30, 2009 |
| Amount: | $1,110 |