| Date of birth: | 1958 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 253801 |
| SO#: | 275025 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0323274 |
| Booking date: | Sep 13, 2003 |
| Release date: | Dec 3, 2003 |
| Booking location: | Salt Lake County, UT |
| Amount: | $3,055 |