| Date of birth: | 1977 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 1052989 |
| SO#: | 280734 |
| Booked at: | SALT LAKE |
| Cob: | Idaho |
| Citizen: | UNITED STATES |
| Booking number: | 0412583 |
| Booking date: | May 23, 2004 |
| Release date: | May 24, 2004 |
| Booking location: | Salt Lake County, UT |
| Amount: | $5,370 |
| Number: | 035019639 |
| Amount: | $265 |