| Date of birth: | 1952 |
| Hair: | Blonde |
| Eyes: | Green |
| State id: | 0416854 |
| SO#: | 121485 |
| Booked at: | SALT LAKE |
| Cob: | Wyoming |
| Citizen: | UNITED STATES |
| Booking number: | 0414539 |
| Booking date: | Jun 15, 2004 |
| Release date: | Jun 16, 2004 |
| Booking location: | Salt Lake County, UT |
| Amount: | $2,789 |