| Date of birth: | 1964 |
| Housing unit: | Kilo |
| Arresting agency: | DAVIS COUNTY JUSTICE COURT - FARMINGTON |
| Booking number: | 201607040 |
| Booking date: | Sep 21, 2016 |
| Booking location: | Davis County, UT |
| Type: | D |
| State statute: | RETAIL THEFT |
| Court: | Farmington Second District Court |