| Date of birth: | 1958 |
| Hair: | Black |
| Eyes: | Brown |
| SO#: | 275064 |
| Booked at: | SALT LAKE |
| Cob: | Hawaii |
| Citizen: | UNITED STATES |
| Booking number: | 0323405 |
| Booking date: | Sep 15, 2003 |
| Release date: | Sep 22, 2003 |
| Booking location: | Salt Lake County, UT |
| Number: | 001102983 |
| Amount: | $5,000 |