| Date of birth: | 1971 |
| Hair: | Brown |
| Eyes: | Blue |
| SO#: | 284829 |
| Booked at: | SALT LAKE |
| Cob: | Nevada |
| Citizen: | UNITED STATES |
| Booking number: | 0428066 |
| Booking date: | Nov 28, 2004 |
| Release date: | Dec 9, 2004 |
| Booking location: | Salt Lake County, UT |
| Amount: | $25,000 |
| Number: | 041907606 |