| Date of birth: | 1963 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 1034928 |
| SO#: | 274950 |
| Booked at: | SALT LAKE |
| Cob: | Kansas |
| Citizen: | UNITED STATES |
| Booking number: | 0326931 |
| Booking date: | Oct 25, 2003 |
| Release date: | Oct 28, 2003 |
| Booking location: | Salt Lake County, UT |
| Amount: | $1,850 |