| Date of birth: | 1963 |
| Hair: | Sandy |
| Eyes: | Blue |
| State id: | 414114 |
| SO#: | 276914 |
| Booked at: | SALT LAKE |
| Cob: | Nevada |
| Citizen: | UNITED STATES |
| Booking number: | 0407200 |
| Booking date: | Mar 21, 2004 |
| Release date: | Apr 27, 2004 |
| Booking location: | Salt Lake County, UT |
| Amount: | $10,000 |
| Number: | 041901920 |
| Amount: | $2,500 |