| Date of birth: | 1965 |
| Hair: | Sandy |
| Eyes: | Blue |
| State id: | 356435 |
| SO#: | 177015 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0408278 |
| Booking date: | Apr 2, 2004 |
| Release date: | Apr 2, 2004 |
| Booking location: | Salt Lake County, UT |
| Amount: | $1,567 |