| Date of birth: | Jul 26, 1935 |
| Arresting agency: | SGPD |
| Arrest date: | Sep 29, 2013 |
| Arrest officer: | Childs, Ken |
| Booking location: | Washington County, UT |
| Statute: | 76-5-102{DV} |
| Required bond: | 1012.00 |
| Offense: | DV-ASSAULT-SIMPLE |
| Court: | WCJ7 |
| Class: | BM |
| Amt paid: | 1012.00 |