| Date of birth: | 1967 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 609539 |
| SO#: | 278067 |
| Booked at: | SALT LAKE |
| Citizen: | UNITED STATES |
| Booking number: | 0402259 |
| Booking date: | Jan 28, 2004 |
| Release date: | Jan 28, 2004 |
| Booking location: | Salt Lake County, UT |
| Number: | 991909967 |
| Amount: | $2,500 |