| Date of birth: | 1964 |
| Hair: | Sandy |
| Eyes: | Green |
| State id: | 342416 |
| SO#: | 171130 |
| Booked at: | SALT LAKE |
| Cob: | Washington |
| Citizen: | UNITED STATES |
| Booking number: | 0330607 |
| Booking date: | Dec 8, 2003 |
| Release date: | Dec 11, 2003 |
| Booking location: | Salt Lake County, UT |
| Number: | 22269 |