| Date of birth: | 1977 |
| Hair: | Black |
| Eyes: | Brown |
| SO#: | 284324 |
| Booked at: | SALT LAKE |
| Cob: | Maryland |
| Citizen: | UNITED STATES |
| Booking number: | 0426201 |
| Booking date: | Nov 4, 2004 |
| Release date: | Nov 5, 2004 |
| Booking location: | Salt Lake County, UT |
| Number: | 041906584 |
| Amount: | $5,000 |