| Date of birth: | 1965 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 1007597 |
| SO#: | 308237 |
| Booked at: | SALT LAKE |
| Cob: | Washington |
| Citizen: | UNITED STATES |
| Booking number: | 0930060 |
| Booking date: | Oct 26, 2009 |
| Release date: | Oct 26, 2009 |
| Booking location: | Salt Lake County, UT |
| Number: | 091906771 |
| Amount: | $5,000 |