| Date of birth: | 1976 |
| Hair: | Black |
| Eyes: | Hazel |
| State id: | 538203 |
| SO#: | 278554 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0415006 |
| Booking date: | Jun 21, 2004 |
| Release date: | Jun 23, 2004 |
| Booking location: | Salt Lake County, UT |
| Number: | 941998 |
| Amount: | $1,505 |