| Date of birth: | 1974 |
| Housing unit: | Medical |
| Arresting agency: | CENTERVILLE PD |
| Booking number: | 201703173 |
| Booking date: | Apr 26, 2017 |
| Booking location: | Davis County, UT |
| Type: | B |
| State statute: | USE OR POSSESSION OF DRUG PARAPHERNALIA |
| Court: | Centerville Justice Court |
| Bail fine: | 1000.00 |