| Date of birth: | 1967 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 374377 |
| SO#: | 184584 |
| Booked at: | SALT LAKE |
| Cob: | Washington |
| Citizen: | UNITED STATES |
| Booking number: | 0417605 |
| Booking date: | Jul 23, 2004 |
| Release date: | Sep 28, 2004 |
| Booking location: | Salt Lake County, UT |
| Amount: | $925 |
| Number: | 035010964 |
| Amount: | $150 |
| Number: | 041902263 |
| Amount: | $25,000 |
| Number: | 041903567 |
| Amount: | $5,000 |
| Number: | 04CR09695 |
| Amount: | $1,000 |
