| Date of birth: | 1974 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 519786 |
| SO#: | 241015 |
| Booked at: | SALT LAKE |
| Cob: | Texas |
| Citizen: | UNITED STATES |
| Booking number: | 0412041 |
| Booking date: | May 16, 2004 |
| Release date: | May 21, 2004 |
| Booking location: | Salt Lake County, UT |
| Amount: | $555 |
| Number: | 041300782 |
| Number: | 001600120 |