| Date of birth: | 1984 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 354429 |
| Booked at: | SALT LAKE |
| Cob: | BRAZIL |
| Citizen: | BRAZIL |
| Booking number: | 12011957 |
| Booking date: | Mar 5, 2012 |
| Release date: | Mar 5, 2012 |
| Booking location: | Salt Lake County, UT |
| Offense date: | Mar 5, 2012 |
| Grade: | F |
| Description: | Obtain Controlled Substance by Fraud/Misrepresentation |
| Degree: | 3 |
| Code: | 58.37.8.3.A.ii |
| Status: | Open |
