| Date of birth: | 1956 |
| Hair: | Bald |
| Eyes: | Blue |
| State id: | 347158 |
| SO#: | 282495 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0419147 |
| Booking date: | Aug 10, 2004 |
| Release date: | Aug 13, 2004 |
| Booking location: | Salt Lake County, UT |
| Amount: | $12,559 |