| Date of birth: | 1975 |
| Hair: | Brown |
| Eyes: | Blue |
| SO#: | 282363 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0418656 |
| Booking date: | Aug 5, 2004 |
| Release date: | Aug 8, 2004 |
| Booking location: | Salt Lake County, UT |
| Number: | 025006267 |
| Amount: | $505 |