| Date of birth: | 1969 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 276888 |
| Booked at: | SALT LAKE |
| Cob: | New Jersey |
| Citizen: | UNITED STATES |
| Booking number: | 0330131 |
| Booking date: | Dec 3, 2003 |
| Release date: | Dec 3, 2003 |
| Booking location: | Salt Lake County, UT |
| Number: | 035003120 |
| Amount: | $2,505 |