| Date of birth: | 1974 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 655076 |
| SO#: | 285637 |
| Booked at: | SALT LAKE |
| Cob: | Nevada |
| Citizen: | UNITED STATES |
| Booking number: | 0500576 |
| Booking date: | Jan 7, 2005 |
| Release date: | Jan 12, 2005 |
| Booking location: | Salt Lake County, UT |
| Amount: | $1,480 |
| Number: | 05CR00440 |
| Amount: | $300 |