| Date of birth: | 1967 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 519350 |
| SO#: | 239900 |
| Booked at: | SALT LAKE |
| Cob: | Oregon |
| Booking number: | 9923345 |
| Booking date: | Sep 20, 1999 |
| Release date: | Sep 29, 1999 |
| Booking location: | Salt Lake County, UT |
| Amount: | $135 |
| Number: | 991918792FS |