| Date of birth: | 1956 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| SO#: | 352892 |
| Booked at: | SALT LAKE |
| Cob: | New York |
| Citizen: | UNITED STATES |
| Booking number: | 12002452 |
| Booking date: | Jan 14, 2012 |
| Release date: | Jan 18, 2012 |
| Booking location: | Salt Lake County, UT |
| Offense date: | Jan 14, 2012 |
| Grade: | M |
| Description: | Failure to disclose identity |
| Degree: | B |
| Code: | 76.8.301.5 |
| Offense date: | Jan 14, 2012 |
| Grade: | M |
| Description: | Interference with arresting officer |
| Degree: | B |
| Code: | 76.8.305 |
| Offense date: | Jan 14, 2012 |
| Grade: | M |
| Description: | Loitering |
| Degree: | C |
| Code: | 11.12.070 |
| Status: | Open |
| Posted: | Jan 14, 2012 |
| Amount: | $1,210 |
