| Date of birth: | 1975 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 284652 |
| Booked at: | SALT LAKE |
| Cob: | Oregon |
| Citizen: | UNITED STATES |
| Booking number: | 0427403 |
| Booking date: | Nov 19, 2004 |
| Release date: | Dec 14, 2004 |
| Booking location: | Salt Lake County, UT |
| Amount: | $50,000 |
| Number: | 041907546 |
| Amount: | $100,000 |