| Date of birth: | 1961 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 280077 |
| Booked at: | SALT LAKE |
| Citizen: | UNITED STATES |
| Booking number: | 0409989 |
| Booking date: | Apr 21, 2004 |
| Release date: | Apr 28, 2004 |
| Booking location: | Salt Lake County, UT |
| Amount: | $1,850 |
| Number: | 041902654 |
| Amount: | $5,000 |
