| Date of birth: | 1970 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 381173 |
| SO#: | 189230 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0930781 |
| Booking date: | Nov 2, 2009 |
| Release date: | Nov 2, 2009 |
| Booking location: | Salt Lake County, UT |
| Number: | 065602180 |
| Amount: | $5,000 |