| Date of birth: | 1952 |
| Unit: | Charlie |
| Arresting agency: | DAVIS COUNTY SO |
| Booking number: | 201109772 |
| Booking date: | Oct 19, 2011 |
| Booking location: | Davis County, UT |
| State statute: | POSSESSION OR USE OF A CONTROLLED SUBSTANCE |
| Court: | Farmington District Court |
| Bail fine: | $0.00 |