| Date of birth: | 1965 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 356564 |
| SO#: | 177112 |
| Booked at: | SALT LAKE |
| Cob: | Florida |
| Booking number: | 0324182 |
| Booking date: | Sep 24, 2003 |
| Release date: | Sep 24, 2003 |
| Booking location: | Salt Lake County, UT |
| Number: | 021911384 |
| Amount: | $10,000 |