| Date of birth: | 1953 |
| Unit: | Golf |
| Photo date: | 9, 2011 |
| Arresting agency: | BOUNTIFUL PD |
| Booking number: | 201108746 |
| Booking date: | Sep 18, 2011 |
| Booking location: | Davis County, UT |
| Booking location: | Utah |
| Type: | Other |
| State statute: | POSSESSION OF AN ALTERED OR FORGED PRESCRIPTION |
| Court: | Salt Lake 3rd District Court Div I |
| Bail fine: | $0.00 |
| State statute: | IDENTITY FRAUD |
| Court: | Farmington District Court |
| Bail fine: | $0.00 |
| State statute: | OBTAINING A PRESCRIPTION UNDER FALSE PRETENSES |
| Court: | Farmington District Court |
| Bail fine: | $0.00 |
