| Date of birth: | 1970 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 320739 |
| Booked at: | SALT LAKE |
| Cob: | Nevada |
| Citizen: | UNITED STATES |
| Booking number: | 0830642 |
| Booking date: | Nov 12, 2008 |
| Release date: | Nov 12, 2008 |
| Booking location: | Salt Lake County, UT |
| Number: | 065100381 |
| Amount: | $192 |