| Date of birth: | 1968 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 357884 |
| Booked at: | SALT LAKE |
| Cob: | South Dakota |
| Citizen: | UNITED STATES |
| Booking number: | 12034008 |
| Booking date: | Jul 4, 2012 |
| Release date: | Jul 4, 2012 |
| Booking location: | Salt Lake County, UT |
| Offense date: | Jul 4, 2012 |
| Grade: | M |
| Description: | Concealing Identity or Furnishing False Information |
| Degree: | B |
| Code: | 11.04.100 |
| Offense date: | Jul 4, 2012 |
| Grade: | M |
| Description: | Retail Theft |
| Degree: | B |
| Code: | 11.36.060 |
| Status: | Released on own Recognizance |
| Posted: | Jul 4, 2012 |
| Amount: | $0 |
