| Date of birth: | 1963 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 1015865 |
| SO#: | 267385 |
| Booked at: | SALT LAKE |
| Cob: | West Virginia |
| Citizen: | UNITED STATES |
| Booking number: | 0326844 |
| Booking date: | Oct 24, 2003 |
| Release date: | Nov 18, 2003 |
| Booking location: | Salt Lake County, UT |