| Date of birth: | 1976 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 291072 |
| Booked at: | SALT LAKE |
| Cob: | Michigan |
| Citizen: | UNITED STATES |
| Booking number: | 0521378 |
| Booking date: | Sep 4, 2005 |
| Release date: | Sep 4, 2005 |
| Booking location: | Salt Lake County, UT |
| Number: | 04CR02151 |
| Amount: | $1,500 |