| Date of birth: | 1964 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 170400 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0512462 |
| Booking date: | May 25, 2005 |
| Release date: | May 26, 2005 |
| Booking location: | Salt Lake County, UT |
| Amount: | $13,700 |
| Number: | C04-00269 |
| Amount: | $190 |