| Date of birth: | 1964 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 433742 |
| SO#: | 215140 |
| Booked at: | SALT LAKE |
| Cob: | Indiana |
| Citizen: | UNITED STATES |
| Booking number: | 11019267 |
| Booking date: | Apr 13, 2011 |
| Release date: | Apr 13, 2011 |
| Booking location: | Salt Lake County, UT |
| Status: | Open |
| Posted: | Apr 13, 2011 |
| Number: | 111500216 |
| Amount: | $658 |