| Date of birth: | 1964 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 479113 |
| SO#: | 188687 |
| Booked at: | SALT LAKE |
| Cob: | Colorado |
| Citizen: | UNITED STATES |
| Booking number: | 0328935 |
| Booking date: | Nov 18, 2003 |
| Release date: | Nov 18, 2003 |
| Booking location: | Salt Lake County, UT |
| Number: | 011916913 MO |
| Amount: | $3,500 |