| Date of birth: | 1971 |
| Housing unit: | Medical |
| Arresting agency: | SYRACUSE PD |
| Booking number: | 201700265 |
| Booking date: | Jan 11, 2017 |
| Booking location: | Davis County, UT |
| Type: | D |
| State statute: | ESCAPE FROM OFFICIAL CUSTODY |
| Court: | Adult Probation and Parole |
| Bail fine: | 0.00 |