| Date of birth: | 1958 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 1059081 |
| SO#: | 282953 |
| Booked at: | SALT LAKE |
| Cob: | Wyoming |
| Citizen: | UNITED STATES |
| Booking number: | 0420963 |
| Booking date: | Sep 1, 2004 |
| Release date: | Sep 7, 2004 |
| Booking location: | Salt Lake County, UT |
| Amount: | $5,370 |