| Date of birth: | Nov 23, 1956 |
| Hair: | Black |
| Eyes: | Brown |
| Photo date: | Aug 25, 2011 |
| SO#: | 347797 |
| Booked at: | SALT LAKE |
| Cob: | NICARAGUA |
| Citizen: | UNITED STATES |
| Booking number: | 11035234 |
| Booking date: | Jul 12, 2011 |
| Release date: | Aug 24, 2011 |
| Booking location: | Salt Lake County, UT |
| Booking location: | Utah |
| Offense date: | Jul 12, 2011 |
| Grade: | F |
| Description: | Utter/forge/alter a prescription |
| Degree: | 3 |
| Code: | 58.37.8.3.A.iii |
| Case number: | 111905046 |
| Offense date: | Jul 12, 2011 |
| Grade: | F |
| Description: | Controlled substance - intent to distribute |
| Degree: | 3 |
| Code: | 58.37.8.1.a.iii |
| Case number: | 111905046 |
| Status: | Open |
| Posted: | Jul 12, 2011 |
| Number: | 111905046 |
| Amount: | $25,000 |
