| Date of birth: | 1958 |
| Hair: | Bald |
| Eyes: | Blue |
| State id: | 496674 |
| SO#: | 275275 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0324217 |
| Booking date: | Sep 24, 2003 |
| Release date: | Sep 25, 2003 |
| Booking location: | Salt Lake County, UT |
| Number: | 011402658 |
| Number: | 021400166 |