| Date of birth: | 1968 |
| Hair: | Brown |
| Eyes: | Blue |
| SO#: | 280641 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0412231 |
| Booking date: | May 19, 2004 |
| Release date: | May 19, 2004 |
| Booking location: | Salt Lake County, UT |
| Number: | 985937980 |
| Amount: | $219 |
| Number: | C03-09033 |
| Amount: | $2,505 |