| Date of birth: | 1965 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 400752 |
| SO#: | 193977 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0328632 |
| Booking date: | Nov 14, 2003 |
| Release date: | Nov 15, 2003 |
| Booking location: | Salt Lake County, UT |
| Amount: | $1,850 |
| Number: | 035303043 |
| Amount: | $255 |