| Date of birth: | 1974 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 656096 |
| SO#: | 283298 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 422359 |
| Booking date: | Sep 17, 2004 |
| Release date: | Sep 17, 2004 |
| Booking location: | Salt Lake County, UT |
| Number: | 04TR04663 |
| Amount: | $2,500 |