| Date of birth: | 1956 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 210856 |
| SO#: | 120962 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0406134 |
| Booking date: | Mar 10, 2004 |
| Release date: | Mar 30, 2004 |
| Booking location: | Salt Lake County, UT |
| Number: | 2:04CR00133DB |