| Date of birth: | 1982 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 1024625 |
| SO#: | 329345 |
| Booked at: | SALT LAKE |
| Cob: | Montana |
| Citizen: | UNITED STATES |
| Booking number: | 0926858 |
| Booking date: | Sep 23, 2009 |
| Release date: | Sep 23, 2009 |
| Booking location: | Salt Lake County, UT |
| Number: | 091907175 |
| Amount: | $5,000 |