| Date of birth: | May 30, 1958 |
| Photo date: | Dec 11, 2008 |
| Arresting agency: | WCPD |
| Arrest date: | Apr 15, 2012 |
| Booking officer: | Klotz, Kory |
| Booking location: | Washington County, UT |
| Booking location: | Utah |
| Statute: | 76-6-602 |
| Required bond: | 623.00 |
| Offense: | RETAIL THEFT-UNDER $5 |
| Court: | WCJ6 |
| Class: | BM |
| Amt paid: | 623.00 |