| Date of birth: | 1965 |
| Hair: | Brown |
| Eyes: | Blue |
| SO#: | 263922 |
| Booked at: | SALT LAKE |
| Cob: | Oregon |
| Citizen: | UNITED STATES |
| Booking number: | 0213210 |
| Booking date: | Jun 13, 2002 |
| Release date: | Jun 13, 2002 |
| Booking location: | Salt Lake County, UT |
| Number: | 021100816 |
| Amount: | $5,000 |