| Date of birth: | 1974 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 524992 |
| SO#: | 245265 |
| Booked at: | SALT LAKE |
| Cob: | Nevada |
| Booking number: | 0416649 |
| Booking date: | Jul 12, 2004 |
| Release date: | Jul 12, 2004 |
| Booking location: | Salt Lake County, UT |
| Number: | CO1-00384 |
| Amount: | $1,500 |