| Date of birth: | 1957 |
| Housing unit: | Medical |
| Arresting agency: | LAYTON PD |
| Booking number: | 201609243 |
| Booking date: | Dec 19, 2016 |
| Booking location: | Davis County, UT |
| Type: | B |
| State statute: | CONTROLLED SUBSTANCE SCHEDULE III, IV, V |
| Court: | Salt Lake 3rd District Court Div I |
| Bail fine: | 5000.00 |