| Date of birth: | 1966 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 375958 |
| SO#: | 185142 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 0332221 |
| Booking date: | Dec 31, 2003 |
| Release date: | Jan 9, 2004 |
| Booking location: | Salt Lake County, UT |
| Number: | 011902557 |
| Amount: | $25,000 |
| Number: | C03-00458 |
| Amount: | $1,500 |
