| Date of birth: | 1970 |
| Housing unit: | Alpha |
| Arresting agency: | DAVIS COUNTY SO |
| Booking number: | 201605236 |
| Booking date: | Jul 14, 2016 |
| Booking location: | Davis County, UT |
| Type: | C |
| State statute: | FALSE PERSONAL INFORMATION TO A PEACE OFFICER |
| Court: | Davis County Justice Court |
| Bail fine: | 600.00 |