| Date of birth: | 1956 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 225796 |
| SO#: | 158705 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0311897 |
| Booking date: | May 10, 2003 |
| Release date: | May 14, 2003 |
| Booking location: | Salt Lake County, UT |
| Amount: | $690 |
| Number: | 03CR06906 |
| Amount: | $300 |