| Date of birth: | 1955 |
| Hair: | Blonde |
| Eyes: | Hazel |
| State id: | 297689 |
| SO#: | 160945 |
| Booked at: | SALT LAKE |
| Cob: | California |
| Citizen: | UNITED STATES |
| Booking number: | 0421541 |
| Booking date: | Sep 8, 2004 |
| Release date: | Sep 21, 2004 |
| Booking location: | Salt Lake County, UT |
| Amount: | $3,700 |
| Number: | 041905878 |
| Amount: | $5,007 |