| Date of birth: | 1951 |
| Hair: | Blonde |
| Eyes: | Green |
| State id: | 1056090 |
| SO#: | 281896 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0416855 |
| Booking date: | Jul 14, 2004 |
| Release date: | Jul 14, 2004 |
| Booking location: | Salt Lake County, UT |
| Number: | 041903837 |
| Amount: | $15,000 |