| Date of birth: | 1970 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 1020247 |
| SO#: | 269241 |
| Booked at: | SALT LAKE |
| Citizen: | UNITED STATES |
| Booking number: | 0421776 |
| Booking date: | Sep 10, 2004 |
| Release date: | Dec 1, 2004 |
| Booking location: | Salt Lake County, UT |
| Number: | 031100868 |
| Amount: | $30,000 |
| Number: | A77 233 855 |
| Number: | A77 233855 |