| Date of birth: | 1957 |
| Hair: | Blonde |
| Eyes: | Green |
| State id: | 217977 |
| SO#: | 124010 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 0420661 |
| Booking date: | Aug 28, 2004 |
| Release date: | Aug 28, 2004 |
| Booking location: | Salt Lake County, UT |
| Number: | 031100470 |
| Amount: | $5,000 |