| Date of birth: | 1957 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 224794 |
| SO#: | 127143 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0917856 |
| Booking date: | Jun 25, 2009 |
| Release date: | Jun 26, 2009 |
| Booking location: | Salt Lake County, UT |
| Number: | 081000468 |
| Amount: | $1,902 |