| Date of birth: | 1975 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 1031836 |
| SO#: | 281210 |
| Booked at: | SALT LAKE |
| Cob: | Nebraska |
| Citizen: | UNITED STATES |
| Booking number: | 0414341 |
| Booking date: | Jun 13, 2004 |
| Release date: | Jun 13, 2004 |
| Booking location: | Salt Lake County, UT |
| Amount: | $835 |