| Date of birth: | 1965 |
| Hair: | Bald |
| Eyes: | Hazel |
| SO#: | 282378 |
| Booked at: | SALT LAKE |
| Cob: | Michigan |
| Booking number: | 0418734 |
| Booking date: | Aug 6, 2004 |
| Release date: | Aug 6, 2004 |
| Booking location: | Salt Lake County, UT |
| Amount: | $1,884 |
| Number: | 045100355 |
| Amount: | $227 |