| Date of birth: | 1965 |
| Hair: | Sandy |
| Eyes: | Hazel |
| State id: | 354681 |
| SO#: | 182354 |
| Booked at: | SALT LAKE |
| Cob: | Washington |
| Citizen: | UNITED STATES |
| Booking number: | 0323968 |
| Booking date: | Sep 22, 2003 |
| Release date: | Sep 24, 2003 |
| Booking location: | Salt Lake County, UT |
| Number: | 01-10789 |
| Amount: | $690 |
| Number: | 20815 |