| Date of birth: | 1962 |
| Hair: | Sandy |
| Eyes: | Blue |
| State id: | 508166 |
| SO#: | 219987 |
| Booked at: | SALT LAKE |
| Cob: | Kansas |
| Citizen: | UNITED STATES |
| Booking number: | 0331543 |
| Booking date: | Dec 20, 2003 |
| Release date: | Dec 20, 2003 |
| Booking location: | Salt Lake County, UT |
| Amount: | $1,500 |