| Date of birth: | 1976 |
| Unit: | Intake |
| Arresting agency: | LAYTON PD |
| Booking number: | 201206100 |
| Booking date: | Jul 13, 2012 |
| Booking location: | Davis County, UT |
| Type: | Bondable |
| State statute: | MAKING OR UTTERING A FALSE PRESCRIPTION |
| Court: | Farmington District Court |
| Bail fine: | $5,000.00 |