| Date of birth: | 1963 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 1031293 |
| SO#: | 273868 |
| Booked at: | SALT LAKE |
| Cob: | New York |
| Citizen: | UNITED STATES |
| Booking number: | 0319166 |
| Booking date: | Jul 29, 2003 |
| Release date: | Jul 29, 2003 |
| Booking location: | Salt Lake County, UT |
| Number: | 031101315 |
| Amount: | $10,000 |