| Date of birth: | 1952 |
| Hair: | Brown |
| Eyes: | Green |
| State id: | 1042760 |
| SO#: | 277051 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0330759 |
| Booking date: | Dec 10, 2003 |
| Release date: | Dec 10, 2003 |
| Booking location: | Salt Lake County, UT |
| Amount: | $2,960 |