| Date of birth: | 1966 |
| Hair: | Brown |
| Eyes: | Blue |
| SO#: | 275528 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0325091 |
| Booking date: | Oct 4, 2003 |
| Release date: | Oct 4, 2003 |
| Booking location: | Salt Lake County, UT |
| Number: | 035005298 |
| Amount: | $2,505 |