| Date of birth: | 1957 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 1026781 |
| SO#: | 293590 |
| Booked at: | SALT LAKE |
| Citizen: | UNITED STATES |
| Booking number: | 0530559 |
| Booking date: | Dec 13, 2005 |
| Release date: | Dec 13, 2005 |
| Booking location: | Salt Lake County, UT |
| Number: | 021904564 |
| Amount: | $2,500 |