| Date of birth: | 1963 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 649310 |
| SO#: | 328623 |
| Booked at: | SALT LAKE |
| Cob: | Washington |
| Citizen: | UNITED STATES |
| Booking number: | 0924385 |
| Booking date: | Aug 30, 2009 |
| Release date: | Aug 30, 2009 |
| Booking location: | Salt Lake County, UT |
| Amount: | $1,480 |