| Date of birth: | 1967 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 319192 |
| SO#: | 351405 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 11058075 |
| Booking date: | Nov 18, 2011 |
| Release date: | Nov 18, 2011 |
| Booking location: | Salt Lake County, UT |
| Number: | 111601757 |