Utah County Sheriff's Office Spanish Fork Utah Name: BAGLEY, JUDSON MONTGOMERY Height: 911 Eyes: HAZ. 14698 N SHADY VIEW LALEHL, UT 84043 Weight: 170, Hair: BRO. Dob: Sex: M Race: W ‘Smt: NONE: Booking #: 292731Nature: FORGERY Lehi City Police Officer Report for Incident 13LE01597 EEE Eamemeemesmeseaaaee ee Address: 1175 E3200 NORTH ST Location: LEO0S Lehi UT 84043 Offense Codes: Received B; How Received: T ‘Agency: LEPD Responding Officers: Responsible Officers: Kirkham B ‘When Reported: 09:18:19 02/12/13, SUM 03/2013 (09:18:06 02/12/13 and 09:18:06 02/12/13, Detail: Offense Codes Reported: Additional Offense: ‘Additional Offens ‘Additional Offense: FNFO Forgery Phone: (801)407-3000 Address City: 1175 3200 NORTH st Lehi, UT 84043 Observed: CSP CS-Prescription Fraud CSPF C3-Prescription Fraud CSPF CS-Prescription Fraud SPF CS-Prescription Fraud CCSPF CS-Prescription Fraud SPF CS-Prescription Fraud SPF CS-Prescription Fraud SPF CS-Preseription Fraud SPF CS-Prescription Fraud CSPF CS-Prescription Fraud Circumstances ARMED Medical Building Responding Officers: Unit: ‘Southwick L. 8127 Responsible Officer: Kirkham B Agency: LEPD Reeeived By: Powell D DD Last Radio Log: *#:¥#:** *4/¥+/=* How Recelved: T Telephone Clearance: Auto Generate Workflow ‘When Reported: 09:18:19 02/12/13 Disposition: SUM Date: 03/20/13 Judicial Status: FPD Occurred between: 09:18:06 02/12/13, Mise Entry: ‘and: 09:18:06 02/12/13 Modus Operandl: Deseription : Method : axaOfficer Report for Incident 13LE01597 Page 2 of 17 Involvements Date 03720113 ois owns owt2ni3 o3/20713, 03/2013, 03/20/13, 03/20/13, 03/2013, 0320113, 03/20/13, 03/2013, 0320113, oai23 Type Booking Name Name ‘Name Offense Offense Offense Offense Offense Offense Offense Offense Offense Cad Call Description Booking#: 8151001 BAGLEY, JUDSON MONTGOMERY ALPINE CLINIC, JONES, STEVEN Offense: LEFO02210 - 3F - 1 count Offenses: LEFOO2211 - 3F - 1 count Offense: LEFO02212 -3F - 1 count Offense#: LEFO02213 - 3F - | count Offense: LEFO02214 - 3F - 1 count Offense: LEF002215 - 3F - 1 count Offense: LEFO02216 -3F -1 count Offense#: LEFO02217 - 3F - | count Offense: LEF002218 - 3F - 1 count (09:18:19 02/12/13 FORGERY Arrest / Offense Suspect / Arrestee ‘Complainant Victim ‘Charged With Charged With ‘Charged With Charged With ‘Charged With Charged With Charged With Charged With Charged With Initiating Call oxnoiisOfficer Report for Incident 1301597 Page 3 of 17 Narrative Forgery of a prescription. Responsible LEO: Approved by: Date canisOfficer Report for Incident 13LE01597 Page 4 of 17 Supplement on February 12, 2013 I was dispatched to 1175 East 3200 North(Alpine clinic) on a forgery detair. Upon my arrival I met with Dr. Steven Jones with Alpine clinic. He stated Last night he received a call from the pharmacist at Macey stating he had Judson Bagley their with a prescription for adderall. The pharmacist stated the scrip did not look right and wanted to make sure Dr. Jones had written it on December 31, 2013. Dr. dones advised the pharmacist he had not seen this patient since December 15, 2010. The pharmacist told Mr. Bagley he could not £111 it and he left. A copy of the prescription is attached to this report, Dr. Jones stated the signature is his, but the date has been changed. Dr. Jones ran a DOPL report on Judson Bagley and found he had gotten 5 different prescriptions at a pharmacy in Salt Lake located at 2036 Bast 6200 South on the Following date: 07/06/2012 08/02/2012 10/03/2012 11/13/2012 12/03/2012 A copy of the DOPL report is attached to thie report ast known address and telephone 4 Judson Bagley 4698 North shady View Lane Lehi, utah 84043 Patrol Officer Southwick LpD nanosOfficer Report for Incident 13LE01597 Page Sof 17 ‘Supplement Detective B. Kirkham Investigations Lehi Police case # 131801597 SOURCE: I received this case for follow up investigation. I learned that on February 12, 2013 Officer Southwick took a forgery detail regarding a forged prescription being passed at the Nacey's Pharmacy in Lehi, Utah on the night prior (02/11/13). The suspect left the pharmacy and took the fraudulent prescription with him. The pharmacist was able to make a photo copy of the prescription document and contacted the prescribing Doctor before the euspect left. ‘The prescribing Doctor advised that ha hasn't seen the patient in question since December 2010. The Doctor advised that the signature on the prescription document appeared to be his, but the date had been changed. The doctor printed out a DOPL report and gave it to Officer Southwick for the patient. The DOPL was attached to this report. I checked the DOPL report and found that Judeon Bagley has filled multiple prescriptions at several different pharmacies with prescriptions allegedly written by, Steven L. Jones, APRN. ‘The prescriptions were for Amphetamine and Hydrocodone. The DOPL showed four prescriptions at Macey's (Lehi) filled and four prescriptions at Walwart (American Fork) filled in Judson Bagley's name allegedly written and prescribed by Steven L. Jones, APRN. There were also prescriptions filled at pharmacies located in Brighton, Holladay and Draper, Utah under the name Judson Bagley and the prescriber being Steven L. Jones, AORN. CONTACT WITH STEVEN L. JONES, APRN: on 02/14/13 I made contact with Steven L. Jones, APRN at his office located at 1175 Bast 3200 North Lehi, Utah. Steven Jones io the complainant in this case. Steven Jones advised that he received a call from the Macey's Pharmacy on 2/12/13 advising that a male just attempted to pass a prescription that appeared to be fraudulent bearing his name and clinic information as the prescriber. The pharmacy faxed Steven Jones a copy of the prescription that the suspect tried to submit. Steven Jones advised that the patient on the prescription is, Judson axnsOfficer Report for Incident 19LE01597 Page 6 of 17 Bagley. Jones said that Judson Bagley is a patient he has seen in the past, however, he hasn't seen Judson Bagley since December 2010, Jones said that he has prescribed Bagley medications in the past to include, Anphetamine and Hydrocodone but nothing since at least December 2010. Jones said that any Preseription since December of 2010 would be fraudulent if issued with his information. Steven Jones said that he does issue printed prescriptions for these types of medications, however, they require an original signature from the prescribing Person. Jones advised that the copy of the prescription he received from Nacey's did appear to be his signature, and did have his DEA, NPT and LEC numbers on it well as his name and clinic information, Jones said that by law these types of medications are not allowed refills and are for a one t:ime prescription. Steven Jones gave a written statement that will be attached to thie report. Also Steven Jones provided a prescription printout to show what a prescription from him would look like, Jones wrote "Void" across the signature area on the "test prescription" in blue ink. ‘The test printout prescription and the copy of the prescription provided by Macey's do appear similar with the same prescribing person's information. I also learned that Judson Bagley called Alpine Clinic and made an appointment to visit Steven Jones for 02/22/2013. This call was made by Bagley after he attempted to pass the prescription at Macey's pharmacy in Lehi, The Alpine Clinic originally scheduled an appointment for Bagley, however, they later cancelled the appointment with him due to the circumstances. MACEYS PHARMACY: T made contact with Macey's Pharmacy manager. I was able to obtain information from them for any prescriptions filled by Judson Bagley, written by Steven L, Jones, APRN. I was able to obtain original prescription documents for four separate prescriptions filled by Bagley. These prescription documents were written using Steven l. Jones, APRN from Alpine Clinics information. I examined the prescription documents and could sce that the documents appeared to be copies from an original prescription document. The signatures on the prescriptions were in blue ink and they vere clearly not original. signatures. ‘The dates on all four prescriptions were different. The pharmacist advised that when a customer picks up a prescription for these types of drugs, some type of customer TD is required by the pharmacy employee at time of pick up. In all four of these transactions the customer (Judson Bagley) used a driver license as the ID type showing "ID Value" 014930065001. I checked Judson Bagley's Utah Driver License number and it is, The following list is the four forged prescription documents provided by Macey's xposOfficer Report for Incident 13LE01597 Page 7 of 17 Pharmacy written with Alpine Clinic/Steven L. Jones, APRN information to Judd Bagley; 1, Dated 05/04/2012 for Lortab 7.5mg, Disp: #30. This prescription was filled on 05/10/2012 and picked up on 05/10/2012 8:47:04 by customer Judson Bagley using Driver License as ID type. 2. Dated 10/29/2012 for Adderall IR 30mg, DIsp: #30. This prescription was filled on 11/03/12 and picked up on 11/03/2012 1:15:27 PN by customer Judson Bagley using a driver license as ID type. 3. Dated 08/30/2012 for Adderall IR 30mg, Disp: #30. This prescription was Eilled on 09/15/12 and picked up on 09/15/2012 9:42:23 AN by customer Judson Bagley using a driver license as ID type 4, Dated 12/11/2012 for Adderall IR 30mg, Disi filled on 12/15/12 and picked up on 12/15/2012 6: Bagley using a driver license as ID type. #30. This prescription was 2:15 PM by customer Judson 5. This prescription was attempted to be filled on 02/11/13, however, the pharmacist thought it looked strange so he took a photo copy of the prescription document and called the doctor. The customer took the original prescription document and left the store when the pharmacist said he was calling the doctor to confirm the prescription. The prescription document is dated 01/13/2013 for Adderall IR 30mg, Disp: #30. This prescription did not get filled. EVIDENCE FROM MACEY'S / SURVEILLANCE: I gathered the original prescription documents and the photo copied prescription document as well as the drug reports that correspond to each prescription fron Macey's Pharmacy as outlined above. Those documents were booked as evidence at the Lehi Police Department. I made photo copies of the documents to be included in this report. T made contact with Macey's Loss Prevention officer regarding any surveillance available for the transactions at the pharmacy on the dates in question. The surveillance system was not working on 02/11/13, He was able to show me surveillance video for the 12/15/12 transaction, however, the system had purged all other previous recordings. I was unable to obtain a copy of the surveillance fron Macey's due to technical problems with the surveillance system. I did view the surveillance video on Macey's surveillance monitor. The surveillance showed on 12/25/12 at approximately 18:03:51 a male with dark hair wearing a red and white coat approach the pharmacy window. The male waited in the pharmacy area until the prescription was filled. The male obtained the prescription from the pharmacy and left the store. 1 took photographs of the surveillance monitor exonOfficer Report for Incident 13LE01597 Page 8 of 17 with a digital camera to capture images of the suspect WALMART PHARMACY: I noticed that the poPL report for Judson Bagley shoved four prescriptions filled on separate occasions at the American Fork Walmart Pharmacy. All four of these prescriptions were issued by Steven L. Jones, APRN. I responded to the Walmart Pharmacy and made contact with pharmacist, Claudia Mielsen. I explained the situation to Claudia and I obtained all four original prescription documents from the Walmart Pharmacy under the name Judson Bagley issued by Steven L. Jones, APRN. After examining the original prescription documents from Walmart Pharmacy I found them to be very similar to the forged prescription documents passed to the Macey's Pharmacy. The prescriptions were written to dudd Bagley and issued with Alpine Clinic, Steven 1,. Jones APRN information. The signatures on the documents were in blue ink and were clearly not original signatures. It appears that the signatures have been photo copied from an original signature. ‘The following list is the four forged prescription documents provided by Macey's Pharmacy written with Alpine Clinic/Steven L. Jones, APRN information to Judd Bagley; 1A. Dated 06/04/2012 for Lortab 7.5mg Disp:#15. This prescription was filled on 06/14/2012. 2A. Dated 08/30/2012 for Adderall IR 30mg, Disp: #30. This prescription was filled on 09/03/2012. 3A, Dated 01/02/2013 for Adderall IR 30mg, Disp: #30. This prescription was filled on 01/06/2013. 4X, Dated 01/31/2013 for Adderall IR 30mg, Disp: #30. This prescription was filled on 02/02/2013. EVIDENCE FROM WALMARY / SURVEILLANCE: I contacted walmart Loss Prevention Department regarding surveillance video of oxneaOfficer Report for Incident 13LE01597 Page 9 of 17 the prescription transactions at their pharmacy. I spoke to Loss Prevention Associate, Nick Jackson. Nick advised that he would have surveillance for 02/02/13, however, the surveillance system has purged the other recordings due to time frame. The pharmacist gave me information that on 02/02/13 the suspect passed the prescription at the drop-off window at approximately 14:33 hours. I viewed the surveillance video for that date and approximate time with Nick. The surveillance showed a male at the pharmacy drop-off counter at approximately 14:30 hours. The male had dark hair, eye glasses and wae wearing a red jacket. ‘The suspect also had a young female (6-8 years old) with dark or dirty blonde hair wearing a white and dark stripped shirt with him. T recognized the suspect male as being Judson Bagley from a Utah Driver License photo. The surveillance also captured the male suspect and young female leaving the store together. I gathered a CD-R disc containing the surveillance footage from Walmart. I took photo copies of the original prescription documents and they will be attached to this report. ‘the original prescription documents and the CD-R containing surveillance footage were booked as evidence at the Lehi Police Department. SUSPECT: I will attempt to locate suspect, Judson Bagley regarding these crimes. Nothing further at this time. oxaansOfficer Report for Incident 13601597 Page 10 of 17 ‘Supplement Detective B, Kirkham Investigations Lehi Police case # 131801597 FOLLOW UP / ARREST: on the morning of 03/19/13 I responded to Judson Bagley's home address in attempts to locate him. Sergeant Ferrell was with me as a back-up officer. T rang the doorbell on Judson's home located at 4698 North Shady View Lane Lehi, Utah. T was greeted at the door by a male. I recognized the male as Judson Bagley from a driver license photo and surveillance images. I addressed the male by saying "Sudson" and he acknowledged my greeting. I introduced myself and sgt Ferrell and asked if he would speak with me at the Lehi Police Department. Judson agreed and asked if he could get dressed. 1 advised Judson that he was under arrest and that he could get dressed so long as I followed him into his home. Judson grabbed his wallet and other personal items. Judson also indicated that he knew what this was regarding and said that he had an appointment with his doctor today to discuss the issue. I walked Judson outside hie home and down the street to where my police vehicle was parked. T placed handcuffs on Judson with his hands behind his back and checked the cuffs for proper fit and double lock. Judson was transported from there to the Lehi Police Department. for an interview. INTERVIEW WITH JUDSON BAGLEY: ‘The interview was conducted by me in the Lehi Police Department interview zoom. I started by confirming his name as Judson Bagley. Judson advised his DOB of + si and gave his current address of 4698 North Shady View ane Lehi, Utah. I told gudson that he was in police custody and I advised him of his rights. Judson advised that he undarstocd his rights. I asked Judson why he thinks he is here today? Judson stated that he takes medication to deal with "focus issues". He said that for a long time he took it (medication) at a certain level and then decided he was going to try and live life without it. He said that he did this for a while and then decided that he was doing his family a disservice and his profession and coworkers. He said that he decided to start taking it again so he visited a nurse practitioner to prescribe the medication to him. Judson said that the nurse practitioner he started seeing was not oxnanaOfficer Report for Incident 13LE01597 Page 11 of 17 willing to prescribe him the dose of medication that has historically worked for him. He said that "she (nurse practitioner) just kinda didn't want to budge and I got kinda frustrated". He said that he took it into his own hande to make up the deficit. Judson said that he didn't want to continue doing this and said that at the beginning of the year he made a plan to stop doing it. He said that this type of thing is not something you can just stop, and referred to it as being like "falling off a cliff". He said his plan was to stop doing it in February. He said that he printed off the wrong prescription and it was one that he had used the month before and the pharmacy noticed it. He said that after the pharmacy noticed the prescription wasn't right, he figured the police would be in contact with him. He said that he figured he would make it as easy for “you guys" as possible. We said that the next day he called the doctor who's nane/prescription he was using and made an appointment to see him. Judson said that this was Doctor Jones. We said that he was going to go tell him (Dr Jones) what was happening. He said that he wasn't able to get an appointment for two weeks with the doctor. He said then the day before the appointment with the doctor he received a phone call from the receptionist who cancelled the appointment and told him it was due to a pending investigation Dr Jones won't see you. He said the receptionist told him it was Detective Kirkham investigating. He said that he tried to contact me and said he wanted to make the investigation easy so the police didn't have to do a bunch of searching and was going to tell me everything and get it over with. Judson went on to explain that what he is doing was not for Fuphoria or anything of the sort, he said that sometimes at work it is tuff to stay focused on his job and tasks at hand. He said that he also sees Dr Annette Ephroni and is scheduled to see her in May. He explained that Dr Bphroni is his legitimate prescriber of Adderall. Judson said that he actually has an appointment scheduled today with Dr Ephroni and he said he was going to discuss this issue with her. Further talking with Judson he again explained that he had a hard time focusing on is job and tasks required at his job. Judson said that one of his tasks at work is reviewing contracts. He said that he would begin reading the contracts and would find himself not being able to concentrate on what he was reading or doing. Ke said that is when he started obtaining more medication by forging prescription documents so he could medicate himself to the level he felt was needed. Judson said that he didn't like having to do this because of side effects the extra medication was causing with him as well as he knew it vas illegal. He said that when he first started doing thie it was only meant to be for a month or so to get by, then it became the normal. Judson said that he knew he didn't want to continue doing this so he made a new year resolution to stop and he also went to his boss and told him that he is not suited for the position he was doing at work. He said that his boss has given him a new assignment at work that he will be much more suited for. J asked Judson when the last time he saw Dr Jones. Judson stated that the last time was in 2010. I asked Judson if Dr Jones was prescribing these medications at the time. He said yes. Judson explained that the only reason for seeing Dr Jones was due to a special occasion where he could not get into his other doctor. gudson said that Dr Jones wrote him a prescription and he took it to get anosOfficer Report for incident 13L.E01597 Page 12 0f 17 filled. gudson said that something wasn't right with the way Dr Jones filled out the prescription document so the pharmacy wouldn't fill it. He said that he took a photo of the prescription document with his phone to email to Dr Jones to show him the problem with the prescription. Judson said that sometime later he realized that he had a photo of the prescription on his phone. He said that thie was about the same time as he was trying to figure out what to do. Judson said that he got thinking "you know I probably could just take this thing and change it in such a way that I could...so anyway, I just happened to have an image of that prescription in my phone". T asked Judson if this was the only tine that Dr Jones had prescribed him Adderall? Judson said that he could not for sure say that was the only time. I asked Judson about the Hydrocodone? Judson responded by explaining that he Like to do Radnar relay races. He said that while participating in one of those races in 2011 he broke a bone in his foot. He said that he continued the race even with a broken foot. Judson said that it was horrible. Judson said that last year he ran three of these types of races. He said that he decided he needed something for pain especially if he ended up breaking any bones again. He said that he delayed going to a physician. Judson said that he just altered the prescription document again for the Lortab. He said that Dr Jones did not ever prescribe any Lortab to him. He indicated that he altered the prescription document he had to say Lortab. He said that all of the Lortab prescriptions would correspond within a few days of one of the races he participated in. He said that he didn't abuse the Lortab and only used then for pain. Ke pointed out that he originally was getting 30 Lortab pills per race then decided he didn't need that many and altered the last prescription for Lortab to only be 15 quantity. (I was able to confirm this by looking at the prescription documents 1 seized from the pharmacies) . Z asked Judson about how he would change the prescription document each time? Judson said that he would change the date and another field called the transaction ID to coincide with the proper date and also changed the type of Aderrall from xR to IR. I showed Judson the photo copy that T had of the prescription was passed at Macey's Pharmacy on 02/11/2013. This is the prescription that the pharmacy realized something wasn't quite right with and took a photo copy and contacted Dr Jones. Judson admitted that he was the person who passed that prescription and he took the original document that he passed out of the store with him that day. Judson said that he didn't keep that prescription document and he thinks he threw it away. I asked Judson how many times he filled at Macey‘s? He replied he didn't know. I went over all of the places Judson had filled prescriptions at with Dr Jones' information. Judson acknowledged using them at Macey's (Lehi), Walmart (American Fork), The Medicine Center in Holladay, Dan's Brighton. Judeon stated that the Medicine Center Pharmacy in Holladay and Dan's Brighton are pharmacies in clos proximity to his place of employment. Judson admitted that any prescriptions on the record with Dr Jones’ information are prescriptions he printed. T asked Judson if he had any other prescription images from other doctors? Judson said oxas(Officer Report for Incident 13LE01597 Page 13 0f 17 that he only has and has only been using Dr Jones’ information. I showed Judson the surveillance images that I obtained from Macey's and Walmart. Judson acknowledged that the suspect in the photo was him and said that the young female with him in the photo from Walmart is hie daughter. I showed him the photo from Macey's surveillance, he also acknowledged that the suspect in the photo was him. I asked Judson about the image of the fraudulent prescription he has. Judson said that he has images of all or most all the prescriptions saved on a thumb drive. Judson had the flash drive with him and consented to allow me to take the images from his thumb drive. T was able to obtain the documents from his thumb drive and save them to a police computer. The file was then erased from his thumb drive prior to giving it back to him. gudeon was present when this took place and watched the computer screen as we obtained the file from his thumb drive. 3 asked gudson how he was paying for the prescriptions and if his insurance company was paying for then? Judson said that he used cash to pay for all of the prescriptions. He said that his insurance company did not pay for any of the prescriptions. Ne said that he was trying to keep the paper trail to a minimum. He said that he was paying about $45 to $60 for the Adderall and $4 to $15 for the Lortab. During the course of this investigation and interview, Judson expressed his desire to change and not do thie type of thing anymore. He explained that he has a steady job with a reputable company and works to support his wife and children, Judson was very respectful with police and was very cooperative with this investigation. ‘The interview was both audio and video recorded. Please refer to the interview Dvp and watch it in ire entirety to have a complete understanding of the interview. EVIDENCE: ‘The original copy of the interview DvD was booked as evidence at the Lehi Police Department. Copies of the original interview DvD will be sent to the Prosecutor's Office. oxnonaOfficer Report for Incident 13LE01597 Page 14 of 17 The file taken from Judson Bagley's thumb drive of the images of the forged Prescriptions was burnt to a DVD and booked as evidence at the Lehi Police Department. Copies of this DvD with be sent to the Prosecutor's Office. ‘concLustoN: I did not locate a criminal history for Judson Bagley and he stated that he has never been arrested in the past. Judson has only one local police involvement where he was a complainant in a detail reported to Lehi Police. Due to these circumstances and Judson's cooperation I decided to refer him to the Utah County Attorney's Office for charges, Judson was transported back to his home and was released. CHARGES: I will be referring this report to the Utah County Attorney's Office. I will be requesting that Judson Bagley be summoned for the following charges; -9 Counts of Prescription Forgery, $8-37-8 Third Degree Felonies. These charges are based on the four prescriptions passed to the Anerican Fork Walmart pharmacy and the five prescriptions passed to the Lehi Macey's pharmacy. Nothing further. oxn03COficer Report for Incident 13LE01597 Page 15 0f 17 Sentryx Booking Informatior Sentryx Booking Number: B151001 Name Numbers 248449 Name: BAGLEY, JUDSON MONTGOMERY ‘Address: 4698 N SHADY VIEW LN Phone: Lehi, UT 84043, Dol ‘Assigned Bed "JCH-FEMII~’ Booking Date: 03/20/13 Alert Codes: Sentryx Arrest # A165292 ‘TimelDate: 11:47:21 03/20/13 ‘Agency: LEPD Ageat Arrest: 41 1175 E3200 North St Officer: Kirkham B ‘Arrest Type: SUMI ‘Area: LEDOS Reference: Disposition: Sentryx Offense #LEF002210 Statute: $8.37-8.4.0 NeIc: Offense: CSPO CS-Poss-Other Crime Class: 3F Offense Reference: Offense Type: S Offense Area: LEOOS Related Incident: 131.E01597 UCcA Entry Code: CRIM Court Cade: DIST 114721 03/2013, Offense Disposition: serene snpenyse Sentryx Offense #LEF002211 5837-840 CSPO CS-Poss-Other 3F Offense Reference: Offense Type: Offense Area: LE005 Related Incident: 131.501597 UcA Entry Code: CRIM Court Code: DIST 11:47:21 03720113 Offense Disposition: 2 nee aapnepne Sentryx Offense #L6F002212 S837-8.4a CSPO CS-Poss-Other 2 3F Offense Type: S Offense Area: LEOOS : 1SLEOLS97 UCA CRIM DIST Offense Time/Date: 11:47:21 03/20/13 Offease Disposition: Disposition Dates *#:=¥-¥* *=/eje> Sentryx Offense #LEF002213 Statute: 58.37-8.4.0 Offense: CSPO CS-Poss-Other 3P Offense Reference: Offense Type: S Offense Area: LEOOS Related Incident: 13101597 CA Entry Code: CRIM Court Code: DIST 1:47.21 0372013 Offense Disposition: amp Sentryx Offense #LEF002214 Statute: 58-37-8.4.0 ovaOfficer Report for Incident 13LE01597 Offense: CSPO CS-Poss-Other Offense Reference: Offense Type: Related Incident: 13801597 Entry Code: CRIM Court Code: DIST Offense Disposition: ‘Sentryx Offense #LEF002215 58-37-84. CSPO CS-Poss-Other Offense Type: 13LB01597 cRIM DIST Offense Type: Sentryx Offense #LEF002217 Statute: 58-37-8.4.0 CSPO CS-Poss-Other Offense Type: Offense Reference: 1SLE01597 CRIM DIST Entry Code: Court Cod Offense Disposition: Sentryx Offense #LEF002218 Statute: 5837-8.4a (CSPO CS-Poss-Orher Offense Type: 131.201597 crim bist Offense Dispositio 8 (Crime Class: Law Jurisdiction: Offense Location: Offense Time/Dat Disposition Date: NeIc: (Crime Class: Law Jurisdiction: Offense Location: Offense Time/Date: Disposition Date: Page 16 of 17 3F Offense Area: LEO0S UCA 11:47:21 03/2013 eecenswe nnpenpae ar Offense Area: LE0OS UCcA 14721 osraons Law Jurisdiction: Offense Location: Offense Time/Date: Disposition Date: NCIC: Crime Class: Law Jurisdiction: Offense Location: Offense TimeDate: Disposition Date: NeIC: Crime Class: Law Jurisdiction: Disposition Date: 11:47:21 03/20/13 ese pen epee 3F Offense Area: 1LE00S UCA 11:87:21 03/20/13 secemien eepeepre 3E Offense Area: LE00S uca oxnenisOfficer Report for incident 13L.E01597 Page 17 of 17 Name Involvements: Suspect 248449 First: JUDSON Mid: MONTGOMERY Dr Lie: Address: 4698 N SHADY VIEW LN 2M Phone: City: Lehi, UT 84043 Victim : 699147 Last: JONES First: STEVEN Mid: DOB: Dr Lie: Address: Race: Sex M Phone: ()- City: Complainant : 602804 Last: ALPINE CLINIC Mid: DoB: **/**/ Address: {175 £3200 NORTH ST Race: Sex: = (801}407-3000, City: Lehi, UT 84043, ‘oxnonaLehi Police Department Personal Information and Statement of Facts IME OIEGT Today's Date: od IM / IR Case # Location of Incident: __ WA ws. Lc Date of Incident: AX 7 Vt \3 Time of Incident: 9; __ am) Your Name: Lasti__Vasat< First: Gheueu Mr Address: Ws" E_32OO City: Lely ZP: SAT Phone#: 2 Woke Otte, SSN: Driver License #: ppm: Bu soMy Notice Pursuant to Section 76-8-504.5 Utah Code annotated, you are notified that statements you are about to make may be presented to a magistrate or a judge in lieu of your sworn testimony at a preliminary ‘examination. Any false statement you make that you do not believe to be true may subject you to criminal charges as a class “A” misdemeanor. Initial: Narrative & Statement of Facts Please be detailed in your description of the events and facts of this incident. Include what you saw, heard, or know of the incident. When referring to an individual use their full name. Narrative:__ =< wR ex © Que ak ds YW — La bs Sea “Sosa “ SOM eee MdSoed\ Sah" Last Santa? WAS Sscsaguadbe Dev meten Dea. “SGN ces Nu = saudi Bdthacll BSS careers wk TGaadk Mk La dk sudan dea Wee ame= “E eawd s ae ah Dak Soe 580 West State *Lehi * UT « 84043 + Office: (80| patch: (801) 851-4100 + Fax: (801) 768-711502/15/2013 ‘To: Macey's Pharmacy Lehi, Utah From: Detective Kirkham ‘To Chad, ‘This letter isto ask for your cooperation regarding a criminal investigation in reference to Lehi Police Case 13LB01597, where several fraudulent prescriptions were presented to your pharmacy by, Judson Bagley dating from May 2012 to December 2012. I am requesting that you provide any and or all original hard copies of prescriptions that have allegedly been written by Doctor Steven L. Jones, APRN and presented to your pharmacy by Judson Bagley within the dates specified above. Also any other record Macey’s Pharmacy keeps or obtains regarding the transfer and or pick-up of these prescription transactions involving Judson Bagley or the prescriptions written to be dispensed to him. ‘Thank You, Detective Bart Kirkham Lehi Police ‘580 West State + Lehi, Utah 84043 + Office: (801) 768-7110 + Dispatch: (801)861-4100 + Fax: (801) 768-711503/14/2013 TO: Walmart Pharmacy American Fork, Utah FROM: Detective Kirkham To Claudia Nielsen, ‘This letter is to ask for your cooperation regarding a criminal investigation in reference to Lehi Police Case 131B01597, where several fraudulent prescriptions were presented to your pharmacy in the name Judson Bagley dating from June 2012 to February 2013. 1 am requesting that you provide any and or all original hard copies of prescriptions that have allegedly been written by Steven L.. jones, APRN and presented to your pharmacy by Judson Bagley within the dates specified above, Also any other record this Walmart Pharmacy keeps or obtains regarding the transfer and or pick-up of these prescription transactions involving Judson Bagley or the prescriptions written to be dispensed to him. ‘Thank You, Detective Bart Kirkham Lehi Police 580 ‘Wiest State + w2hi, Utah B4043 + Clice (8055 788-7170 + Despaten (80126514100 + Rax «Or, 188-715Lehi Police Department PROPERTY REPORT CASENO, '13LE01597 EVIDENCE: BOOK TO ARRESTEE: WIEN THERE I NO ARRESTEE, Ejmrounn: nook To rrcisteneD owner ‘BOOK TO VICTIM. D1 Foun evince: Book To OFFICER WHEN THERE IS NO 1) ouno Pnorsir¥: 800K 10 FINDER ARRESTEE OR VICTIM PROPERTY TAKEN INTO | DATES TAME ‘LOCATION secumicustopy [02/27/2013 IMacey’s Pharmacy Lehi, Utah ‘PROPERTY BOOKED TO ‘RESIDENCE ADDRESS HY TSRSIDENCEPHONE | BUSINESS PHONE idson Bagley 4696 North Shady ViewLane Lehi “ARRESTHE'S NAME [RESIDENCE ADDRESS “GH | RESIDENCE PHONE | BUSINESS PONE "VICTIMS WARE RESIDENCE ADDRESS ‘CHV | RESIDENCE PHONE | BUSINESS PHONE ‘OWNERS WANE RESIDENCE ADDRESS THY | RESIDENCE PONE | BUSINESS PONE ‘TYPEOF CRE OR PROBABLECRIME | TYPEOF PROPERTY (F VENICLE, GIVE MARE, MODEL, YEAR, COLOR, LICENSE Prescription Forgery ‘PRESENT LOCATION OF PROPERTY Lehi PD (0) TERE AND DESCHIRE ALL PROPERTY. _@_NOTE ALL DAMAGE TO PROTERTY G) GIVE ALL SERIAL NOMIBERS AND GTVER MARKS OF INDENTIFICATION. (2) LIST ONLY ONE ARTICLE OM A LINE. (5) INDICATE WHEN LAST ITEM WAS ENTERD. (6) GIVE. EXPLANATION OF WHY PROPERTY WAS SEIZED. . TEM NO, | QUANTITY ‘SERIAL NOMEN, INITIALS, ANDVOR’ ENGRAVINGS Fraudulent escrglon documents va Bagley rug report Cocuments om Macey TRG ote copy of faudulentpescpion document Di contaning photos rom Nace Suvlisnce manor SEIZING OFFICER RECEIVED IN EVIDENCE ‘DATE AND TE "AREA STORED rkham, THEM NO, | OATEAND TIME [RELEASED REASON FOR RELSASTLehi Police Department PROPERTY REPORT CASE NO. Sw@eremes macro snnearc nen nine no ansres 2000 ' FOINDEVEENCE BOOK To GCEA WHEN THERES NonAneSTEE PROPERTY TOTO ‘Seem custo OPT OED TS Fe Hus Nest Sly tL by Sn @_ JLali (2 FOANO PROPERTY OOK TORNDER, nestoence Hole | “SUGGES PONE Verne REECE AOORES av | nescence Prone | GUERESS PO STEN REECE NOTRE ‘GAY RESCERGE PHONE —|GUSNESS PONE Forgery PRESENT LOCATION OF PROPERTY Th) TENE AND ESCA ALL PROPERTY.) NOTEALL (6 UsroneyOnEARTELEONALNE. (6) NOCATE WHEMLAST TEM WAS ENTERED Lehi PD SARIGE TO PROPER “THEE OF PROPE (-VERROE VE WATE, MODEL, VEAR, COLOR UEENSE NOY @ See RRS AEST ER DESO ORTON @ awe OF WHY PROPERTY WS SEED, WENN, | QUANTA [Sereno ata, fal) te, fn 2 DagaD | Sade Bagleye — Deal | nuduleats Presiei Pir dicwment RX*AIZ&L | Teacll ral | Wnudilecd PresecriPtion de eae edhe tetmeyo | Tudl/ Yeall [Frsudalent= PrrseePdien derismeat Rit LRHIG 2 BrAl I [CDR oat i vi Tema oreenah TEENS WOENEETT oENaTa re Kuek reer Taina] ostwo me] nase manonr Taneon ron Tae | ontmorme | naar oy TeASoNTOARELEE Tame ostnorme | neice Tanto TranLehi Police Department PROPERTY REPORT Leeois97 | Renee S006 TOAMRESTEE: WHEN THERE 16 HO AMRESTE, AOE ‘OMPOUND BOOK TO REGISTERED OWNER, Gronomonct jong grenme ner sions Dronemoer waKToTOR == ee Fis ee Yeas hel Paice deepcimaeas es RTS S| aa aE Speben Eagey: WEEN ap ial Nel re a aoe a aE aS STRSTR RT TE TE RTT fo — et an RT ~ Ww tone 0 OescTiE ALL PROPGATY. i) NOTE ALGMUGE TO PACPERTY a) NEL SAL NBG Ano OTHER NAS OF WATIRCATON ( USTOMY ONEATTCLEONALNE. 3) NOATE MENLASTITENWAS ENTERED. fo) GWE EXPLANATION Sek. Be [er ae we Jt |p ae it) | bats Ta aC Teaco HT Tema — Hig tebamn, a Weine—| OATEANO TE ‘peimseoer MEETS EASOU FOR RELEASE13LEO 1897