| Date of birth: | 1959 |
| Hair: | Brown |
| Eyes: | Brown |
| Pob: | USA |
| Inmate status: | Active |
| Arresting agency: | Provo PD |
| Arrest date: | Jan 27, 2017 |
| Booking number: | 348773 |
| Booking date: | Jan 27, 2017 |
| Booking location: | Utah County, UT |
| Statute: | 76-5-102 |
| Definition: | Assault |
| Court: | Lehi Justice Court |
| Case number: | 161000457 |
| Bond type: | Cash Only |
| Bond amount: | $1,970 |
| Arrested held for: | Warrant of Arrest |