| Date of birth: | Dec 30, 1966 |
| Arresting agency: | HCPD |
| Arrest date: | May 19, 2012 |
| Booking officer: | Gray, Justin |
| Booking location: | Washington County, UT |
| Statute: | 76-6-602 |
| Required bond: | 623.00 |
| Offense: | RETAIL THEFT-UNDER $5 |
| Court: | WCJ3 |
| Class: | BM |
| Amt paid: | 623.00 |
