| Date of birth: | 1961 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 440956 |
| SO#: | 276845 |
| Booked at: | SALT LAKE |
| Cob: | Connecticut |
| Citizen: | UNITED STATES |
| Booking number: | 0924753 |
| Booking date: | Sep 2, 2009 |
| Release date: | Sep 2, 2009 |
| Booking location: | Salt Lake County, UT |
| Amount: | $1,480 |