| Date of birth: | 1954 |
| Hair: | Blonde |
| Eyes: | Blue |
| SO#: | 323895 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 11055656 |
| Booking date: | Nov 4, 2011 |
| Release date: | Nov 4, 2011 |
| Booking location: | Salt Lake County, UT |
| Offense date: | Nov 4, 2011 |
| Grade: | F |
| Description: | Forgery |
| Degree: | 3 |
| Code: | 32A.12.310.2 |
| Case number: | 111401910 |
| Offense date: | Nov 4, 2011 |
| Grade: | M |
| Description: | FALSE INFO TO POLICE OFFICER |
| Degree: | B |
| Code: | 76.8.507.1 |
| Case number: | 111401910 |
| Status: | Paid |
| Posted: | Nov 4, 2011 |
| Number: | 111401910 |
| Amount: | $5,000 |
