| Date of birth: | 1962 |
| Hair: | Blonde |
| Eyes: | Blue |
| State id: | 395262 |
| SO#: | 196653 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0502664 |
| Booking date: | Jan 31, 2005 |
| Release date: | Feb 8, 2005 |
| Booking location: | Salt Lake County, UT |
| Number: | 961002418 |
| Amount: | $430 |