| Date of birth: | 1974 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 638360 |
| SO#: | 280811 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0412897 |
| Booking date: | May 26, 2004 |
| Release date: | May 26, 2004 |
| Booking location: | Salt Lake County, UT |
| Number: | 041903431 |
| Amount: | $10,000 |