| Date of birth: | 1963 |
| Hair: | Blonde |
| Eyes: | Blue |
| State id: | 336122 |
| SO#: | 277081 |
| Booked at: | SALT LAKE |
| Cob: | Washington |
| Citizen: | UNITED STATES |
| Booking number: | 0330875 |
| Booking date: | Dec 12, 2003 |
| Release date: | Dec 16, 2003 |
| Booking location: | Salt Lake County, UT |
| Amount: | $555 |
| Amount: | $22,768 |