| Date of birth: | 1961 |
| Hair: | Black |
| Eyes: | Brown |
| SO#: | 276819 |
| Booked at: | SALT LAKE |
| Cob: | Connecticut |
| Citizen: | UNITED STATES |
| Booking number: | 0329912 |
| Booking date: | Nov 30, 2003 |
| Release date: | Nov 30, 2003 |
| Booking location: | Salt Lake County, UT |
| Number: | 021911069 |
| Amount: | $1,000 |
| Number: | C03-01305 |
| Amount: | $2,505 |
