| Date of birth: | 1962 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 1218044 |
| SO#: | 336467 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 12017718 |
| Booking date: | Apr 6, 2012 |
| Release date: | Apr 7, 2012 |
| Booking location: | Salt Lake County, UT |
| Status: | Paid |
| Posted: | Apr 6, 2012 |
| Amount: | $2,267 |