| Date of birth: | 1955 |
| Hair: | Blonde |
| Eyes: | Green |
| State id: | 216659 |
| SO#: | 117847 |
| Booked at: | SALT LAKE |
| Cob: | Kentucky |
| Citizen: | UNITED STATES |
| Booking number: | 0510441 |
| Booking date: | May 2, 2005 |
| Release date: | May 5, 2005 |
| Booking location: | Salt Lake County, UT |
| Amount: | $1,000 |