| Date of birth: | 1958 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 00401803 |
| SO#: | 181477 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0411980 |
| Booking date: | May 16, 2004 |
| Release date: | May 16, 2004 |
| Booking location: | Salt Lake County, UT |
| Number: | 031906286 |
| Amount: | $25,000 |
| Number: | 035005833 |
| Amount: | $250 |
| Number: | 035601264 |
| Amount: | $420 |
