| Date of birth: | 1956 |
| Hair: | Blonde |
| Eyes: | Blue |
| State id: | 190949 |
| SO#: | 148636 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0928120 |
| Booking date: | Oct 5, 2009 |
| Release date: | Oct 5, 2009 |
| Booking location: | Salt Lake County, UT |
| Amount: | $4,572 |