| Date of birth: | 1983 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 1156166 |
| SO#: | 314458 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0927973 |
| Booking date: | Oct 3, 2009 |
| Release date: | Oct 4, 2009 |
| Booking location: | Salt Lake County, UT |
| Amount: | $1,567 |