| Date of birth: | 1955 |
| Hair: | Blonde |
| Eyes: | Hazel |
| State id: | 651714 |
| SO#: | 183641 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0529365 |
| Booking date: | Nov 30, 2005 |
| Release date: | Dec 2, 2005 |
| Booking location: | Salt Lake County, UT |
| Amount: | $2,405 |