| Date of birth: | 1955 |
| Hair: | Blonde |
| Eyes: | Blue |
| State id: | 190513 |
| SO#: | 111803 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 414295 |
| Booking date: | Jun 12, 2004 |
| Release date: | Jun 15, 2004 |
| Booking location: | Salt Lake County, UT |
| Amount: | $40,000 |