| Date of birth: | 1967 |
| Hair: | Black |
| Eyes: | Brown |
| SO#: | 279944 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0409474 |
| Booking date: | Apr 15, 2004 |
| Release date: | Apr 16, 2004 |
| Booking location: | Salt Lake County, UT |
| Number: | 02-06210 |
| Amount: | $5,005 |