| Date of birth: | 1960 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 470291 |
| SO#: | 219178 |
| Booked at: | SALT LAKE |
| Citizen: | UNITED STATES |
| Booking number: | 0400549 |
| Booking date: | Jan 8, 2004 |
| Release date: | Jan 20, 2004 |
| Booking location: | Salt Lake County, UT |
| Amount: | $925 |
| Number: | 011912503 |
| Amount: | $145 |
| Number: | 04CR00282 |
| Amount: | $555 |
| Number: | 971007222 |
| Amount: | $194 |
| Number: | 975018343 |
| Amount: | $187 |