| Date of birth: | 1959 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 436334 |
| SO#: | 206492 |
| Booked at: | SALT LAKE |
| Citizen: | UNITED STATES |
| Booking number: | 0410395 |
| Booking date: | Apr 26, 2004 |
| Release date: | Apr 27, 2004 |
| Booking location: | Salt Lake County, UT |
| Amount: | $2,631 |
| Number: | 01-10675 |
| Amount: | $1,635 |
| Number: | 03-00435 |
| Amount: | $745 |
