| Date of birth: | 1967 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 281716 |
| Booked at: | SALT LAKE |
| Cob: | Alaska |
| Citizen: | UNITED STATES |
| Booking number: | 0418043 |
| Booking date: | Jul 29, 2004 |
| Release date: | Aug 2, 2004 |
| Booking location: | Salt Lake County, UT |
| Number: | 041101629 |
| Amount: | $10,000 |
| Number: | CO4-04408 |
| Amount: | $2,500 |
