| Date of birth: | 1971 |
| Hair: | Sandy |
| Eyes: | Blue |
| State id: | 630632 |
| SO#: | 282627 |
| Booked at: | SALT LAKE |
| Cob: | North Carolina |
| Citizen: | UNITED STATES |
| Booking number: | 0419627 |
| Booking date: | Aug 16, 2004 |
| Release date: | Aug 17, 2004 |
| Booking location: | Salt Lake County, UT |
| Booking location: | Salt Lake County, UT |
| Amount: | $2,072 |