| Date of birth: | 1964 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 520130 |
| SO#: | 240923 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0420553 |
| Booking date: | Aug 27, 2004 |
| Release date: | Oct 5, 2004 |
| Booking location: | Salt Lake County, UT |
| Number: | 031903371 |
| Amount: | $25,000 |
| Number: | C04-02641 |
| Amount: | $1,500 |