| Date of birth: | 1960 |
| Hair: | Blonde |
| Eyes: | Blue |
| State id: | 632147 |
| SO#: | 283571 |
| Booked at: | SALT LAKE |
| Cob: | Washington |
| Citizen: | UNITED STATES |
| Booking number: | 0423416 |
| Booking date: | Oct 1, 2004 |
| Release date: | Oct 1, 2004 |
| Booking location: | Salt Lake County, UT |
| Amount: | $673.50 |