| Date of birth: | 1957 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 279477 |
| SO#: | 277795 |
| Booked at: | SALT LAKE |
| Cob: | Wyoming |
| Citizen: | UNITED STATES |
| Booking number: | 0401226 |
| Booking date: | Jan 15, 2004 |
| Release date: | Jan 20, 2004 |
| Booking location: | Salt Lake County, UT |
| Number: | 031403771 |
| Amount: | $10,000 |