| Date of birth: | 1969 |
| Hair: | Blonde |
| Eyes: | Green |
| State id: | 1088861 |
| SO#: | 294314 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 11048210 |
| Booking date: | Sep 22, 2011 |
| Release date: | Sep 22, 2011 |
| Booking location: | Salt Lake County, UT |
| Number: | 111601403 |