| Date of birth: | 1957 |
| Hair: | Red or auburn |
| Eyes: | Hazel |
| State id: | 226488 |
| SO#: | 279317 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0407067 |
| Booking date: | Mar 20, 2004 |
| Release date: | Mar 23, 2004 |
| Booking location: | Salt Lake County, UT |
| Amount: | $5,370 |