| Date of birth: | 1960 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 1041799 |
| SO#: | 276760 |
| Booked at: | SALT LAKE |
| Citizen: | UNITED STATES |
| Booking number: | 0424741 |
| Booking date: | Oct 18, 2004 |
| Release date: | Dec 7, 2004 |
| Booking location: | Salt Lake County, UT |
| Number: | 03CR09353 |
| Amount: | $1,500 |
| Number: | 041903741 |
| Amount: | $20,000 |
| Number: | 866664024 |
