| Date of birth: | 1956 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 1034724 |
| SO#: | 274907 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0322839 |
| Booking date: | Sep 8, 2003 |
| Release date: | Sep 9, 2003 |
| Booking location: | Salt Lake County, UT |
| Amount: | $925 |