| Date of birth: | 1971 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 1071695 |
| SO#: | 292335 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0525998 |
| Booking date: | Oct 25, 2005 |
| Release date: | Oct 26, 2005 |
| Booking location: | Salt Lake County, UT |
| Number: | 041000618 A |
| Amount: | $1,500 |