| Date of birth: | 1958 |
| Hair: | Sandy |
| Eyes: | Hazel |
| State id: | 231085 |
| SO#: | 141897 |
| Booked at: | SALT LAKE |
| Cob: | Idaho |
| Citizen: | UNITED STATES |
| Booking number: | 0419758 |
| Booking date: | Aug 18, 2004 |
| Release date: | Nov 5, 2004 |
| Booking location: | Salt Lake County, UT |
| Number: | 031903880 |
| Amount: | $25,000 |