| Date of birth: | 1979 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 1055239 |
| SO#: | 281596 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0927314 |
| Booking date: | Sep 28, 2009 |
| Release date: | Sep 30, 2009 |
| Booking location: | Salt Lake County, UT |
| Amount: | $5,555 |