| Date of birth: | 1956 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 211176 |
| SO#: | 121113 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0407540 |
| Booking date: | Mar 25, 2004 |
| Release date: | Mar 31, 2004 |
| Booking location: | Salt Lake County, UT |
| Amount: | $15,200 |
| Number: | 04 0449 |
| Amount: | $1,675 |