| Date of birth: | 1976 |
| Hair: | Blonde |
| Eyes: | Blue |
| State id: | 532582 |
| SO#: | 253791 |
| Booked at: | SALT LAKE |
| Cob: | Arizona |
| Citizen: | UNITED STATES |
| Booking number: | 0421448 |
| Booking date: | Sep 7, 2004 |
| Release date: | Sep 7, 2004 |
| Booking location: | Salt Lake County, UT |
| Number: | 011301960 |
| Amount: | $235 |
| Number: | 021909480 |
| Amount: | $5,000 |