| Date of birth: | 1954 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 250627 |
| SO#: | 271108 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0410160 |
| Booking date: | Apr 23, 2004 |
| Release date: | May 5, 2004 |
| Booking location: | Salt Lake County, UT |
| Amount: | $835 |
| Number: | 001701494 |
| Number: | 031000571 |
| Amount: | $195 |
| Number: | 031700985 |
| Amount: | $10,000 |
| Number: | 03CR05324 |
| Amount: | $2,000 |
| Number: | 041900841 |
| Amount: | $5,000 |
| Number: | 1040202 |
| Amount: | $420 |
