| Date of birth: | 1976 |
| Hair: | Sandy |
| Eyes: | Green |
| SO#: | 280700 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0412450 |
| Booking date: | May 21, 2004 |
| Release date: | May 21, 2004 |
| Booking location: | Salt Lake County, UT |
| Number: | 041903104 |
| Amount: | $5,000 |