| Date of birth: | 1962 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 658729 |
| SO#: | 281094 |
| Booked at: | SALT LAKE |
| Cob: | Texas |
| Citizen: | UNITED STATES |
| Booking number: | 0413788 |
| Booking date: | Jun 6, 2004 |
| Release date: | Jun 29, 2004 |
| Booking location: | Salt Lake County, UT |
| Number: | 04CR05730 |
| Amount: | $3,500 |