| Date of birth: | 1958 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 279596 |
| SO#: | 182327 |
| Booked at: | SALT LAKE |
| Cob: | AMERICAN SAMOA |
| Citizen: | UNITED STATES |
| Booking number: | 0409288 |
| Booking date: | Apr 14, 2004 |
| Release date: | Apr 19, 2004 |
| Booking location: | Salt Lake County, UT |
| Number: | 005004923 |
| Amount: | $1,505 |
| Number: | 991200147 |
| Amount: | $25,000 |
