| Date of birth: | 1964 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 395781 |
| SO#: | 192122 |
| Booked at: | SALT LAKE |
| Cob: | Arizona |
| Citizen: | UNITED STATES |
| Booking number: | 0323344 |
| Booking date: | Sep 14, 2003 |
| Release date: | Sep 22, 2003 |
| Booking location: | Salt Lake County, UT |
| Number: | 011913554 |
| Amount: | $5,000 |