| Date of birth: | 1955 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 315047 |
| SO#: | 281283 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0414629 |
| Booking date: | Jun 17, 2004 |
| Release date: | Jul 15, 2004 |
| Booking location: | Salt Lake County, UT |
| Number: | 011000801 |
| Amount: | $840 |
| Number: | 03CR12397 |
| Amount: | $2,500 |
| Number: | Y210402 |
| Amount: | $860 |
