| Date of birth: | 1957 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 646960 |
| SO#: | 169242 |
| Booked at: | SALT LAKE |
| Cob: | Nevada |
| Citizen: | UNITED STATES |
| Booking number: | 0507823 |
| Booking date: | Apr 2, 2005 |
| Release date: | May 16, 2005 |
| Booking location: | Salt Lake County, UT |
| Number: | 021911980 |
| Amount: | $5,000 |