| Date of birth: | 1959 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 358829 |
| SO#: | 142548 |
| Booked at: | SALT LAKE |
| Cob: | Pennsylvania |
| Citizen: | UNITED STATES |
| Booking number: | 0419583 |
| Booking date: | Aug 16, 2004 |
| Release date: | Aug 16, 2004 |
| Booking location: | Salt Lake County, UT |