| Date of birth: | 1956 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 341203 |
| SO#: | 170993 |
| Booked at: | SALT LAKE |
| Cob: | Colorado |
| Citizen: | UNITED STATES |
| Booking number: | 0912770 |
| Booking date: | May 4, 2009 |
| Release date: | May 6, 2009 |
| Booking location: | Salt Lake County, UT |
| Amount: | $2,980 |