| Date of birth: | 1961 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 360496 |
| SO#: | 281548 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0415512 |
| Booking date: | Jun 28, 2004 |
| Release date: | Jun 28, 2004 |
| Booking location: | Salt Lake County, UT |
| Number: | 03-5965 |
| Amount: | $170 |
| Number: | 045000477 |
| Amount: | $160 |
| Number: | 04TR02073 |
| Amount: | $1,500 |
