| Date of birth: | 1965 |
| Hair: | Bald |
| Eyes: | Blue |
| SO#: | 281591 |
| Booked at: | SALT LAKE |
| Cob: | New Jersey |
| Citizen: | UNITED STATES |
| Booking number: | 0415693 |
| Booking date: | Jun 30, 2004 |
| Release date: | Sep 27, 2004 |
| Booking location: | Salt Lake County, UT |
| Amount: | $125,000 |
| Number: | 041905887 |
| Amount: | $100 |
| Number: | 2003040012 |
| Amount: | $10,000 |
| Number: | 98080226 |
| Amount: | $350 |
| Number: | 991000773 |
| Amount: | $5,000 |