| Date of birth: | 1960 |
| Hair: | Black |
| Eyes: | Brown |
| SO#: | 283223 |
| Booked at: | SALT LAKE |
| Cob: | Michigan |
| Citizen: | UNITED STATES |
| Booking number: | 0422038 |
| Booking date: | Sep 14, 2004 |
| Release date: | Sep 27, 2004 |
| Booking location: | Salt Lake County, UT |
| Number: | 041905896 |
| Amount: | $100,000 |