| Date of birth: | 1967 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 375167 |
| SO#: | 184687 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0412831 |
| Booking date: | May 25, 2004 |
| Release date: | Jul 14, 2004 |
| Booking location: | Salt Lake County, UT |
| Number: | 04TR01363 |
| Amount: | $800 |