| Date of birth: | 1964 |
| Hair: | Brown |
| Eyes: | Green |
| State id: | 340967 |
| SO#: | 171036 |
| Booked at: | SALT LAKE |
| Cob: | North Dakota |
| Citizen: | UNITED STATES |
| Booking number: | 0302335 |
| Booking date: | Jan 24, 2003 |
| Release date: | Jan 28, 2003 |
| Booking location: | Salt Lake County, UT |
| Number: | 991100362 |