| Date of birth: | 1957 |
| State id: | 1039928 |
| SO#: | 273516 |
| Booked at: | SALT LAKE |
| Booking number: | 0327646 |
| Booking date: | Nov 3, 2003 |
| Release date: | Nov 7, 2003 |
| Booking location: | Salt Lake County, UT |
| Number: | 995308648 |
| Amount: | $1,080 |
| Number: | C03-08691 |
| Amount: | $2,500 |