| Date of birth: | 1960 |
| Hair: | Blonde |
| Eyes: | Green |
| State id: | 301319 |
| SO#: | 159552 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0404270 |
| Booking date: | Feb 19, 2004 |
| Release date: | Apr 9, 2004 |
| Booking location: | Salt Lake County, UT |
| Number: | 041900662 |
| Amount: | $5,000 |