| Date of birth: | 1960 |
| Hair: | Brown |
| Eyes: | Hazel |
| SO#: | 167557 |
| Booked at: | SALT LAKE |
| Cob: | California |
| Citizen: | UNITED STATES |
| Booking number: | 0405035 |
| Booking date: | Feb 27, 2004 |
| Release date: | Jun 26, 2004 |
| Booking location: | Salt Lake County, UT |
| Number: | 911900105 |
| Amount: | $1,500 |