| Date of birth: | 1963 |
| Hair: | Blonde |
| Eyes: | Blue |
| State id: | 535178 |
| SO#: | 255390 |
| Booked at: | SALT LAKE |
| Cob: | Florida |
| Citizen: | UNITED STATES |
| Booking number: | 0409252 |
| Booking date: | Apr 13, 2004 |
| Release date: | Apr 19, 2004 |
| Booking location: | Salt Lake County, UT |
| Number: | 011200536 |
| Amount: | $10,000 |
| Number: | 04TR01469 |
| Amount: | $1,500 |
