| Date of birth: | 1955 |
| Hair: | Sandy |
| Eyes: | Blue |
| State id: | 357900 |
| SO#: | 243146 |
| Booked at: | SALT LAKE |
| Cob: | West Virginia |
| Citizen: | UNITED STATES |
| Booking number: | 0411098 |
| Booking date: | May 4, 2004 |
| Release date: | Jun 3, 2004 |
| Booking location: | Salt Lake County, UT |
| Number: | 041400244 |
| Amount: | $2,500 |
| Number: | 041900365 |
| Amount: | $5,000 |
