| Date of birth: | 1971 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 291907 |
| Booked at: | SALT LAKE |
| Cob: | Arizona |
| Citizen: | UNITED STATES |
| Booking number: | 0524460 |
| Booking date: | Oct 10, 2005 |
| Release date: | Oct 10, 2005 |
| Booking location: | Salt Lake County, UT |
| Amount: | $2,164 |
| Number: | C7 1131 |
| Amount: | $100 |