| Date of birth: | 1958 |
| Hair: | Blonde |
| Eyes: | Blue |
| State id: | 260318 |
| SO#: | 145793 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0329076 |
| Booking date: | Nov 19, 2003 |
| Release date: | Nov 19, 2003 |
| Booking location: | Salt Lake County, UT |
| Number: | 03CR16287 |
| Amount: | $2,500 |