| Date of birth: | 1958 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 1044344 |
| SO#: | 277553 |
| Booked at: | SALT LAKE |
| Cob: | Idaho |
| Citizen: | UNITED STATES |
| Booking number: | 0400244 |
| Booking date: | Jan 4, 2004 |
| Release date: | Jan 6, 2004 |
| Booking location: | Salt Lake County, UT |
| Amount: | $50,000 |
| Number: | 041900015 |
| Amount: | $25,000 |