| Date of birth: | 1978 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 1055169 |
| SO#: | 281569 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0415578 |
| Booking date: | Jun 28, 2004 |
| Release date: | Jun 28, 2004 |
| Booking location: | Salt Lake County, UT |
| Number: | CO3-02369 |
| Amount: | $2,500 |