| Date of birth: | 1956 |
| Hair: | Blonde |
| Eyes: | Blue |
| State id: | 429223 |
| SO#: | 204164 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0418790 |
| Booking date: | Aug 6, 2004 |
| Release date: | Aug 6, 2004 |
| Booking location: | Salt Lake County, UT |
| Number: | 031400368 |
| Amount: | $10,000 |