| Date of birth: | 1976 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 280988 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0413471 |
| Booking date: | Jun 2, 2004 |
| Release date: | Jun 2, 2004 |
| Booking location: | Salt Lake County, UT |
| Number: | 045001108 |
| Amount: | $2,505 |