| Date of birth: | 1964 |
| Hair: | Blonde |
| Eyes: | Hazel |
| State id: | 353733 |
| SO#: | 179103 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0412422 |
| Booking date: | May 21, 2004 |
| Release date: | May 21, 2004 |
| Booking location: | Salt Lake County, UT |
| Amount: | $1,567 |