| Date of birth: | 1970 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 1053431 |
| SO#: | 280930 |
| Booked at: | SALT LAKE |
| Cob: | Missouri |
| Citizen: | UNITED STATES |
| Booking number: | 0413257 |
| Booking date: | May 30, 2004 |
| Release date: | May 30, 2004 |
| Booking location: | Salt Lake County, UT |
| Number: | 041902999 |
| Amount: | $10,000 |