| Date of birth: | 1973 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 1110202 |
| SO#: | 349848 |
| Booked at: | SALT LAKE |
| Cob: | South Dakota |
| Citizen: | UNITED STATES |
| Booking number: | 11048439 |
| Booking date: | Sep 23, 2011 |
| Release date: | Sep 23, 2011 |
| Booking location: | Salt Lake County, UT |
| Status: | Open |
| Amount: | $2,122 |