| Date of birth: | 1968 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 283402 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0422709 |
| Booking date: | Sep 22, 2004 |
| Release date: | Sep 22, 2004 |
| Booking location: | Salt Lake County, UT |
| Number: | 041905967 |
| Amount: | $10,000 |