| Date of birth: | 1955 |
| Hair: | Sandy |
| Eyes: | Blue |
| State id: | 201664 |
| SO#: | 120457 |
| Booked at: | SALT LAKE |
| Cob: | California |
| Citizen: | UNITED STATES |
| Booking number: | 0401636 |
| Booking date: | Jan 20, 2004 |
| Release date: | Sep 28, 2004 |
| Booking location: | Salt Lake County, UT |
| Number: | 011800105 |
| Amount: | $1,000 |
| Number: | 031905490 |
| Number: | 031905490 FS |
| Amount: | $5,000 |
