| Date of birth: | 1969 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 538020 |
| SO#: | 284684 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0427495 |
| Booking date: | Nov 21, 2004 |
| Release date: | Nov 21, 2004 |
| Booking location: | Salt Lake County, UT |
| Amount: | $4,995 |