| Date of birth: | 1956 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 351656 |
| SO#: | 260945 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0523844 |
| Booking date: | Oct 3, 2005 |
| Release date: | Oct 5, 2005 |
| Booking location: | Salt Lake County, UT |
| Amount: | $1,635 |