| Date of birth: | 1985 |
| Housing unit: | Bravo |
| Arresting agency: | NORTH SALT LAKE PD |
| Booking number: | 201607383 |
| Booking date: | Oct 6, 2016 |
| Booking location: | Davis County, UT |
| Type: | C |
| State statute: | FALSE INFO LAW ENFORCEMEMT/GOVT AGENCIES/SPECIFIED |
| Court: | Clearfield Justice Court |
| Bail fine: | 2638.00 |