| Date of birth: | 1976 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 1048180 |
| SO#: | 278845 |
| Booked at: | SALT LAKE |
| Cob: | NORTH VIETNAM |
| Citizen: | UNITED STATES |
| Booking number: | 0419172 |
| Booking date: | Aug 11, 2004 |
| Release date: | Aug 19, 2004 |
| Booking location: | Salt Lake County, UT |