| Date of birth: | 1982 |
| Housing unit: | Kilo |
| Arresting agency: | CENTERVILLE PD |
| Booking number: | 201607092 |
| Booking date: | Sep 23, 2016 |
| Booking location: | Davis County, UT |
| Type: | D |
| State statute: | MAKING OR UTTERING A FALSE PRESCRIPTION |
| Court: | Farmington Second District Court |