| Date of birth: | 1960 |
| Hair: | Black |
| Eyes: | Green |
| State id: | 1062538 |
| SO#: | 284389 |
| Booked at: | SALT LAKE |
| Citizen: | UNITED STATES |
| Booking number: | 0927072 |
| Booking date: | Sep 25, 2009 |
| Release date: | Oct 16, 2009 |
| Booking location: | Salt Lake County, UT |
| Number: | 028 764 544 |
| Number: | 051900180 |