| Date of birth: | 1963 |
| Hair: | Black |
| Eyes: | Brown |
| SO#: | 291004 |
| Booked at: | SALT LAKE |
| Cob: | Texas |
| Citizen: | UNITED STATES |
| Booking number: | 0521152 |
| Booking date: | Sep 1, 2005 |
| Release date: | Sep 1, 2005 |
| Booking location: | Salt Lake County, UT |
| Number: | 041902531 |
| Amount: | $5,000 |