| Date of birth: | 1972 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 618502 |
| SO#: | 282915 |
| Booked at: | SALT LAKE |
| Cob: | Wyoming |
| Citizen: | UNITED STATES |
| Booking number: | 0420800 |
| Booking date: | Aug 30, 2004 |
| Release date: | Aug 30, 2004 |
| Booking location: | Salt Lake County, UT |
| Number: | 041904615 |
| Amount: | $2,500 |