| Date of birth: | 1970 |
| Hair: | Sandy |
| Eyes: | Blue |
| State id: | 450099 |
| SO#: | 280597 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0424535 |
| Booking date: | Oct 15, 2004 |
| Release date: | Nov 30, 2004 |
| Booking location: | Salt Lake County, UT |
| Number: | 041905279 |
| Amount: | $10,000 |