| Date of birth: | 1964 |
| Hair: | Blonde |
| Eyes: | Blue |
| State id: | 370519 |
| SO#: | 289908 |
| Booked at: | SALT LAKE |
| Cob: | Wisconsin |
| Citizen: | UNITED STATES |
| Booking number: | 0517084 |
| Booking date: | Jul 16, 2005 |
| Release date: | Jul 16, 2005 |
| Booking location: | Salt Lake County, UT |
| Amount: | $1,850 |