| Date of birth: | 1970 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 286098 |
| Booked at: | SALT LAKE |
| Cob: | Arizona |
| Citizen: | UNITED STATES |
| Booking number: | 0502410 |
| Booking date: | Jan 28, 2005 |
| Release date: | Jan 28, 2005 |
| Booking location: | Salt Lake County, UT |
| Number: | 041907085 |
| Amount: | $5,000 |