| Date of birth: | 1954 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 610039 |
| SO#: | 242280 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0408128 |
| Booking date: | Mar 31, 2004 |
| Release date: | Apr 3, 2004 |
| Booking location: | Salt Lake County, UT |
| Number: | 041100097 |
| Amount: | $10,000 |