| Date of birth: | 1964 |
| Hair: | Bald |
| Eyes: | Blue |
| State id: | 1141601 |
| SO#: | 310475 |
| Booked at: | SALT LAKE |
| Cob: | Washington |
| Citizen: | UNITED STATES |
| Booking number: | 0727534 |
| Booking date: | Oct 19, 2007 |
| Release date: | Oct 19, 2007 |
| Booking location: | Salt Lake County, UT |
| Amount: | $615 |