| Date of birth: | 1963 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | A20283008 |
| SO#: | 292165 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0525424 |
| Booking date: | Oct 19, 2005 |
| Release date: | Oct 19, 2005 |
| Booking location: | Salt Lake County, UT |
| Number: | 051906220 |
| Amount: | $5,000 |