| Date of birth: | 1963 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 00525571 |
| SO#: | 232600 |
| Booked at: | SALT LAKE |
| Cob: | West Virginia |
| Citizen: | UNITED STATES |
| Booking number: | 0212362 |
| Booking date: | Jun 3, 2002 |
| Release date: | Jun 3, 2002 |
| Booking location: | Salt Lake County, UT |