| Date of birth: | 1984 |
| Housing unit: | Intake |
| Arresting agency: | FARMINGTON DISTRICT COURT |
| Booking number: | 201701098 |
| Booking date: | Feb 10, 2017 |
| Booking location: | Davis County, UT |
| Type: | D |
| State statute: | MAKING OR UTTERING A FALSE PRESCRIPTION |
| Court: | Farmington Second District Court |