| Date of birth: | 1958 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | NJ285474B |
| SO#: | 276471 |
| Booked at: | SALT LAKE |
| Cob: | New Jersey |
| Citizen: | UNITED STATES |
| Booking number: | 0328597 |
| Booking date: | Nov 14, 2003 |
| Release date: | Apr 21, 2004 |
| Booking location: | Salt Lake County, UT |
| Number: | 031903352 |
| Amount: | $25,000 |