| Date of birth: | 1973 |
| Hair: | Brown |
| Eyes: | Hazel |
| SO#: | 281742 |
| Booked at: | SALT LAKE |
| Cob: | Missouri |
| Citizen: | UNITED STATES |
| Booking number: | 0416242 |
| Booking date: | Jul 7, 2004 |
| Release date: | Jul 7, 2004 |
| Booking location: | Salt Lake County, UT |
| Number: | 041902466 |
| Amount: | $10,000 |