| Date of birth: | 1958 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 252246 |
| SO#: | 138001 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0408254 |
| Booking date: | Apr 2, 2004 |
| Release date: | Apr 6, 2004 |
| Booking location: | Salt Lake County, UT |
| Amount: | $3,330 |