| Date of birth: | 1969 |
| Hair: | Sandy |
| Eyes: | Blue |
| State id: | 464842 |
| SO#: | 232326 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0325781 |
| Booking date: | Oct 12, 2003 |
| Release date: | Oct 14, 2003 |
| Booking location: | Salt Lake County, UT |
| Number: | 015013608 |
| Amount: | $5,005 |