| Date of birth: | 1963 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 443224 |
| SO#: | 209271 |
| Booked at: | SALT LAKE |
| Cob: | New York |
| Citizen: | UNITED STATES |
| Booking number: | 0826344 |
| Booking date: | Sep 27, 2008 |
| Release date: | Sep 27, 2008 |
| Booking location: | Salt Lake County, UT |
| Number: | 08-1625 |
| Amount: | $190 |