| Date of birth: | 1957 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 219843 |
| SO#: | 124535 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0403147 |
| Booking date: | Feb 6, 2004 |
| Release date: | Mar 10, 2004 |
| Booking location: | Salt Lake County, UT |
| Number: | 031101287 |
| Amount: | $20,000 |