| Date of birth: | 1969 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 540662 |
| SO#: | 282276 |
| Booked at: | SALT LAKE |
| Cob: | AFGHANISTAN |
| Citizen: | UNITED STATES |
| Booking number: | 0422630 |
| Booking date: | Sep 21, 2004 |
| Release date: | Sep 29, 2004 |
| Booking location: | Salt Lake County, UT |
| Number: | 04CR10166 |
| Amount: | $2,500 |