| Date of birth: | 1961 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 275596 |
| SO#: | 153451 |
| Booked at: | SALT LAKE |
| Cob: | North Carolina |
| Citizen: | UNITED STATES |
| Booking number: | 0412633 |
| Booking date: | May 23, 2004 |
| Release date: | May 23, 2004 |
| Booking location: | Salt Lake County, UT |
| Number: | 041101023 |
| Amount: | $2,500 |
| Number: | Y0104326 |
| Amount: | $1,005 |
