| Date of birth: | 1966 |
| Hair: | Blonde |
| Eyes: | Blue |
| State id: | 1042131 |
| SO#: | 276878 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0330103 |
| Booking date: | Dec 2, 2003 |
| Release date: | Dec 3, 2003 |
| Booking location: | Salt Lake County, UT |
| Amount: | $1,480 |