| Date of birth: | 1966 |
| Hair: | Brown |
| Eyes: | Blue |
| SO#: | 305189 |
| Booked at: | SALT LAKE |
| Cob: | Wyoming |
| Citizen: | UNITED STATES |
| Booking number: | 12047885 |
| Booking date: | Sep 12, 2012 |
| Release date: | Sep 12, 2012 |
| Booking location: | Salt Lake County, UT |
| Offense date: | Sep 12, 2012 |
| Grade: | M |
| Description: | Assault - Domestic Violence |
| Degree: | B |
| Code: | 76.5.102.2 |
| Case number: | 121600702 |
| Number: | 121600702 |
