| Date of birth: | 1969 |
| Hair: | Brown |
| Eyes: | Blue |
| SO#: | 275206 |
| Booked at: | SALT LAKE |
| Cob: | Montana |
| Citizen: | UNITED STATES |
| Booking number: | 0323927 |
| Booking date: | Sep 21, 2003 |
| Release date: | Sep 21, 2003 |
| Booking location: | Salt Lake County, UT |
| Number: | 031905198 |
| Amount: | $25,000 |